A Rare Case of Appendiceal Intussusception Secondary to Low-Grade Mucinous Neoplasm

Shinde, Rajendra and Marathe, Nikita N. and Kumar, Naresh B. and Lathoriya, Amit and Chitlange, Gopal and Jadhav, Pratik (2023) A Rare Case of Appendiceal Intussusception Secondary to Low-Grade Mucinous Neoplasm. Asian Journal of Case Reports in Surgery, 6 (2). pp. 620-624.

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Abstract

Appendiceal intussusception is an unusual clinical entity, and when it is caused by a low-grade mucinous neoplasm, it becomes exceptionally rare. A 27-year-old female sought medical attention with a 3-day history of abdominal pain and recurrent vomiting. Clinical examination revealed right iliac fossa tenderness. Emergency imaging, ultrasound of abdomen, revealed a blind-ending, thick-walled, non-compressible tubular structure with a target appearance, suggesting appendiceal intussusception. Laboratory findings showed lymphocytosis, while other parameters were within the normal range. Confirmation of the diagnosis and assessment of disease extent were achieved through contrast-enhanced computed tomography (CECT) of the abdomen and pelvis. CECT revealed a soft tissue mass at the ileocecal junction with peripheral enhancing walls, indicative of an inflammatory process. A dilated and inflamed appendix, with post-contrast enhancement, was observed to be contributing to this mass. The patient underwent laparotomy, where approximately 100-150ml of inflammatory fluid was drained, and the inflamed appendix was identified intussuscepted into the cecum with associated adhesions. Appendicitis intussusception is a rare condition that requires appendectomy for treatment. Based on a study of 71,000 human appendix surgical specimens, the incidence of appendix intussusception has been estimated to be.01%.

Item Type: Article
Subjects: Open Research Librarians > Medical Science
Depositing User: Unnamed user with email support@open.researchlibrarians.com
Date Deposited: 11 Dec 2023 04:17
Last Modified: 11 Dec 2023 04:17
URI: http://stm.e4journal.com/id/eprint/2323

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