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Insidious presentation of intussusception with appendicitis.
Nargus Ebrahimi1, Yu-Ting Yeh1
1General Surgery, Blacktown Hospital, Blacktown, Australia.
Journal of Surgical Case Reports
|January 28, 2021
Summary
Appendicitis rarely causes intussusception, but this case highlights the diagnostic challenge. An inflamed appendix acted as a lead point for ileocolic intussusception in a young male, requiring surgical intervention.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Intussusception, a telescoping of the bowel, is uncommon in adults.
- Appendicitis is a frequent cause of acute abdominal pain, but its association with intussusception is rare.
Observation:
- A 22-year-old male presented with acute right-sided abdominal pain.
- Computed tomography revealed ileocolic intussusception.
Findings:
- Intraoperative findings confirmed an inflamed appendix, likely serving as the lead point for the intussusception.
- Ischaemia of the right colon necessitated a right hemicolectomy.
Implications:
- This case underscores the importance of considering appendicitis as a lead point in adult intussusception.
- Highlights the diagnostic challenges and surgical management of this rare condition.
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