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[A man with abdominal pain, diarrhoea and rectal bleeding]
A J M Oosterwijk1, J W van den Berg, C C van Rossem
1Maasstad Ziekenhuis, afd. Heelkunde, Rotterdam.
Nederlands Tijdschrift Voor Geneeskunde
|April 21, 2018
Summary
A rare case of cecocolic intussusception caused by an appendiceal mucocele was identified in a 49-year-old man. Surgical resection revealed a low-grade mucinous neoplasm, highlighting the importance of investigating such presentations.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Abdominal Imaging
Background:
- Intussusception, a condition where one part of the intestine telescopes into another, is uncommon in adults.
- Appendiceal mucoceles, mucus-filled dilatations of the appendix, can rarely lead to complications like intussusception.
Observation:
- A 49-year-old male presented with acute abdominal pain, vomiting, diarrhea, and rectal bleeding.
- Diagnostic imaging, including colonoscopy and CT scan, revealed cecocolic intussusception.
Findings:
- The intussusception was determined to be caused by an appendiceal mucocele.
- Laparoscopic ileocecal resection was performed.
- Microscopic examination confirmed the appendiceal mucocele was a low-grade mucinous neoplasm.
Implications:
- This case underscores the need for thorough investigation of adult intussusception to identify underlying neoplastic causes.
- Appendiceal mucinous neoplasms should be considered in the differential diagnosis of intussusception.
- Laparoscopic surgery offers a minimally invasive approach for treating such conditions.
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