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Intussusception of mucocele of the appendix: a case report
1Department of Surgery, Mackay Memorial Hospital, Taipei, Taiwan, R.O.C.
Zhonghua Yi Xue Za Zhi = Chinese Medical Journal; Free China Ed
|February 1, 1994
Abstract:
A 63-year-old man had had repeated episodes of ileo-caecal intussusception, and a pre-operative barium enema revealed appendiceal mucocele as a leading cause. Resection of appendix and part of the caecum were undertaken through exploration. The post-operative course was smooth. This unusual etiology is reported and discussed.
Insights
Appendiceal mucocele caused repeated ileocecal intussusception in a 63-year-old man. Surgical resection of the appendix and cecum resolved the condition, highlighting an unusual cause for this intestinal obstruction.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Abdominal Imaging
Background:
- Intussusception, a condition where one part of the intestine slides into another, can lead to bowel obstruction.
- Appendiceal mucocele, a rare condition involving mucus accumulation in the appendix, is an uncommon cause of intussusception.
Observation:
- A 63-year-old male patient presented with recurrent episodes of ileocecal intussusception.
- Pre-operative imaging, specifically a barium enema, identified an appendiceal mucocele as the likely underlying cause.
Findings:
- Surgical exploration confirmed the appendiceal mucocele.
- Resection of the appendix and a portion of the cecum was successfully performed.
Implications:
- This case highlights appendiceal mucocele as a rare but significant etiology of intussusception in adults.
- Early diagnosis and surgical intervention are crucial for managing intussusception caused by appendiceal mucocele.
- Further research into the pathogenesis and optimal management of appendiceal mucocele is warranted.