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Appendiculo-cecal intussusception: a case report and literature review
Sunit Agrawal1, Bhawani Khanal1, Roshan Gurung1
1Department of General & Minimal Access Surgery, B.P. Koirala Institute of Health Sciences, Dharan, Nepal.
Appendiceal intussusception, a rare condition mimicking appendicitis, presents a diagnostic challenge. This case highlights the successful surgical management of appendiceal intussusception in a young patient.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Intussusception is the telescoping of one segment of the gastrointestinal tract into another.
- Appendiceal intussusception is an uncommon cause of acute abdominal pain, often mimicking acute appendicitis.
- Accurate diagnosis is crucial for appropriate surgical intervention.
Observation:
- A 14-year-old male presented with symptoms suggestive of acute appendicitis.
- Surgical exploration revealed intussusception of the appendix into the cecum (appendiculo-cecal intussusception).
Findings:
- The patient was diagnosed with appendiceal intussusception.
- A right hemicolectomy with ileotransverse colon anastomosis was performed for definitive treatment.
Implications:
- This case underscores the importance of considering appendiceal intussusception in the differential diagnosis of acute appendicitis.
- Prompt surgical intervention, such as hemicolectomy, can lead to successful outcomes in managing this rare condition.
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