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Appendiceal intussusception in the setting of ulcerative colitis
Paul R Burchard1, Alan A Thomay1
1West Virginia University School of Medicine, Morgantown, WV, USA.
Journal of Surgical Case Reports
|April 13, 2018
Summary
Appendiceal intussusception, a rare condition, involves the appendix telescoping into the cecum. This case highlights a rare presentation in an adult female, successfully treated with ileocecectomy.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Appendiceal intussusception is an uncommon condition with an incidence of 0.01%, typically presenting in adults with chronic, intermittent symptoms.
- Diagnosis can be challenging due to non-specific symptoms and imaging findings.
Observation:
- A 39-year-old female presented with a 5-week history of worsening right-sided abdominal pain.
- Computed tomography showed cecal thickening, and colonoscopy revealed a cecal mass with mild ulcerative colitis (UC) changes.
- Biopsies were suggestive of mild ulcerative colitis (UC).
Findings:
- Laparoscopic assisted ileocecectomy was performed.
- The surgery revealed an inverted appendix protruding into the cecal lumen, confirming appendiceal intussusception.
- The patient recovered without complications.
Implications:
- This case underscores the importance of considering appendiceal intussusception in adult patients with unexplained abdominal pain and cecal masses.
- Early diagnosis and surgical intervention are crucial for favorable outcomes.
- Post-operative management included mesalamine therapy for the co-existing ulcerative colitis.
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