Inverted appendix mistaken for a polyp during colonoscopy and leading to intussusception.
A spectrum of appendiceal diseases, ranging from simple mucous distension to acute perforated appendicitis, are seen in patients with CF. We report a 6 year old boy with CF and recurrent periumbilical pain. During colonoscopy, a fleshy pedunculated mass at the junction of the ascending colon and caecum was mistaken for a polyp and excised. However, histopathological examination suggested it was a segment of inverted appendix. The remnant of the inverted appendix was subsequently found to be associated with an intussusception.
Department of Paediatric Surgery, Central Manchester and Manchester Children's University Hospitals, UK.
Ashok D
AD
Ram
Clare
C
Peckham
Anthony K
AK
Akobeng
Adrian G
AG
Thomas
Timothy J
TJ
David
Leena
L
Patel
D001062:Appendectomy / Q000379:methods; D001065:Appendix / Q000002:abnormalities* / Q000601:surgery; D002429:Cecal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D002648:Child; D003111:Colonic Polyps / Q000175:diagnosis*; D003113:Colonoscopy; D003550:Cystic Fibrosis / Q000150:complications; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D006801:Humans; D007443:Intussusception / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D008297:Male