A Case of Partially Resected Appendiceal Intussusception Caused by Acute Appendicitis

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  • 急性虫垂炎による不完全型虫垂重積症の1例
  • 症例 急性虫垂炎による不完全型虫垂重積症の1例
  • ショウレイ キュウセイ チュウスイエン ニ ヨル フカンゼンガタ チュウスイジュウ セキショウ ノ 1レイ

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Abstract

A 43-year-old woman was admitted to our hospital due to right flank pain and vomiting. She exhibited extreme tenderness and peritoneal signs in the right flank and a mass was found. Computer tomography revealed an ileocecal lesion with a target-like appearance. Intussusception accompanied by localized peritonitis was suspected and an emergency operation was performed. During the laparotomy, we found that the base of the appendix and the ileum were partially inverted into the ascending colon. Manual reduction using Hutchinson's maneuver was performed. Since intussusception due to a tumor was suspected, an ileocecal resection was performed. Post-surgical histopathology revealed that a mass at the cecum was a thickened appendiceal root wall. We therefore diagnosed the patient with appendiceal intussusception caused by an abscess due to appendicitis.<BR>Adult intussusception is rare and appendiceal intussusception is particularly rare. The majority of cases of appendiceal intussusception are associated with an appendiceal tumor or a fecal pellet. It is rare for intussusception to develop because of acute appendicitis. We report a rare case of appendiceal intussusception induced by acute appendicitis.

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