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[Appendicular invagination and post-appendectomy invagination].

L von Segesser, P Boymond, J M Fiala

    Schweizerische Medizinische Wochenschrift
    |March 26, 1983
    PubMed
    Summary
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    Appendiceal intussusception is rare. A case of ileocolic intussusception after appendicectomy, caused by an intussuscepted caecal duplication, is reported for the first time.

    Area of Science:

    • Gastroenterology
    • Surgical Pathology

    Background:

    • Intussusception of the appendix is an uncommon condition, with approximately 200 cases reported previously.
    • Intussusception occurring after an appendicectomy procedure is exceptionally rare, with only 20 prior documented instances.

    Observation:

    • This report details two recent cases of appendiceal intussusception.
    • The first case involved primary appendiceal intussusception.
    • The second case presented as ileocolic intussusception post-appendicectomy, uniquely attributed to an intussuscepted caecal duplication, an event not previously documented.

    Findings:

    • The study highlights the rarity of intussusception following appendicectomy.
    • A novel cause for post-appendicectomy ileocolic intussusception, namely intussuscepted caecal duplication, is identified.

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  • The report discusses the clinical presentation, diagnostic methods, classification, differential diagnoses, and surgical management strategies for these conditions.

    • Implications:

    • This finding expands the known etiologies of ileocolic intussusception after appendicectomy.
    • It underscores the importance of thorough pathological examination in diagnosing rare post-operative complications.
    • The discussion of surgical tactics aims to guide clinicians in managing these infrequent scenarios.