腸重積をきたした虫垂粘液嚢腫の1例

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  • A CASE OF APPENDICEAL MUCOCELE CAUSING INTUSSUSCEPTION

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Altough mucocele of the appendix is not a rare disease, that causing intussusception is extremely rare. Only 33 cases of mucocele causing intussusception have been reported in Japan. We present the case of a 46-year-old female. She visited our hospital presenting with abdominal pain and bloody stool. She was diagnosed as having intussusception using abdominal ultrasonography (US) and computed tomography (CT).<br> Gastrografin enema showed a crab-finger finding in the transverse colon, and reduced the intussusception. After reduction, a hemispherical protrusion in the cecum remained. Because this hemispherical protrusion in the cecum was proved to be a part of a cystic mass adjacent to the cecum, the patient was diagnosed as having had intussusception caused by mucocele of the appendix, and ileocecal resection was performed. Histologically, the mucocele was diagnosed as mucinous cystadenoma.<br> We emphasize that ultrasonography and/or computed tomography are valuable for the precise preoperative diagnosis of this disease through imaging both the target sign and the cystic mass adjacent to it.

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