Korean J Gastrointest Endosc.
2010 Mar;40(3):195-198.
A Case of Asymptomatic Appendiceal Intussusception by Mucinous Cystadenoma
- Affiliations
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- 1Department of Surgery, Wonkwang University College of Medicine, Iksan, Korea. parkwc@wonkwang.ac.kr
- 2Department of Internal Medicine, Wonkwang University College of Medicine, Iksan, Korea.
- 3Department of Pathology, Wonkwang University College of Medicine, Iksan, Korea.
Abstract
- Appendiceal intussusception has rarely been reported, and this has an incidence of 0.01% when performing appendectomy. It develops due to anatomical or pathological conditions such as polyps, worms, carcinomas, mucoceles or fecaliths. Patients with appendiceal intussusception present with various clinical symptoms from no symptoms to acute or chronic lower abdominal pain like that in appendicitis. Yet making the accurate preoperative diagnosis is sometimes difficult. Advanced colonoscopy has recently made it possible to arrive at the preoperative diagnosis and colonoscopy provides the optimal management of appendiceal intussusceptions that show various clinical symptoms. We report here on a 62-year-old woman who has no clinical symptoms of appendiceal intussusception, and the patient was preoperatively diagnosed by colonoscopy and managed with laparoscopic partial cecectomy. The final diagnosis was mucinous cystadenoma-induced appendiceal intussusception.
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