Intussusception of the appendix that reduced spontaneously during follow-up in a patient on hemodialysis therapy.
A 63-year-old man on long-term hemodialysis therapy was hospitalized due to right lower abdominal pain. CT scan demonstrated a multiple concentric structure in the ileocecal region. Colonoscopy showed a polyp-like tumor arising from the expected location of the appendix, with a dimple at the top. Barium enema study revealed a submucosal tumor-like filling defect in the cecum with non-filling of the appendix. A diagnosis of intussusception of the appendix (IA) was made. During the follow-up, IA reduced spontaneously. The present case report is the first description of IA in a patient on hemodialysis therapy. Furthermore, spontaneous reduction of IA is indeed rare.
Orio Clinic, Kitakyusyu, Kitakyusyu.
Norikuni
N
Komine
Chikao
C
Yasunaga
Masahiko
M
Nakamoto
Ichiro
I
Shima
Yasunori
Y
Iso
Yasuo
Y
Takeda
Tomochika
T
Nakamata
D001065:Appendix; D001466:Barium Sulfate; D002429:Cecal Diseases / Q000175:diagnosis*; D003113:Colonoscopy; D004733:Enema / Q000379:methods; D006801:Humans; D007443:Intussusception / Q000175:diagnosis*; D007676:Kidney Failure, Chronic / Q000628:therapy; D008297:Male; D008875:Middle Aged; D012075:Remission, Spontaneous; D006435:Renal Dialysis; D014057:Tomography, X-Ray Computed
D001466:Barium Sulfate