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Intussusception of the appendix.

L B Langsam, P K Raj, C F Galang

    Diseases of the Colon and Rectum
    |June 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    This report details two rare cases of appendiceal intussusception, one linked to adenocarcinoma and the other to endometrioma. It highlights the diagnostic challenges and proposes a new classification for this uncommon condition.

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    Area of Science:

    • Gastroenterology and Surgical Pathology

    Background:

    • Appendiceal intussusception is a rare condition, often presenting with non-specific symptoms.
    • Concomitant appendiceal intussusception and adenocarcinoma is exceptionally uncommon.

    Observation:

    • Two cases of appendiceal intussusception are presented.
    • Case 1 involved adenocarcinoma and an adenomatous polyp.
    • Case 2 involved an endometrioma.

    Findings:

    • The study reports the first known instance of concurrent appendiceal intussusception and adenocarcinoma.
    • Preoperative diagnosis of appendiceal intussusception is frequently missed due to variable clinical presentations.
    • The authors discuss classification, symptoms, radiographic findings, and differential diagnoses.

    Implications:

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    • Accurate preoperative diagnosis of appendiceal intussusception remains a challenge.
    • A novel classification for appendiceal intussusception is proposed to aid diagnosis and understanding.
    • This case series contributes to the limited literature on appendiceal intussusception, particularly when associated with malignancy.