Colonoscopic diagnosis of appendiceal intussusception in a patient with intermittent abdominal pain: a case report.
Intussusception of the appendix is a rare condition. Most cases are diagnosed during operation of the patients suspected to have appendicitis. In this report we present a seventy one year-old man with a history of periumbilical intermittent abdominal pain for several months. None of the paraclinical tests were useful for determining the diagnosis. Colonoscopy performed during the last episode of abdominal pain revealed the prolapsed appendix in the cecum and the patient was sent to the operating room. Macroscopic appearance of the appendix was normal and microscopic examination revealed follicular hyperplasia and acute focal appendicitis. Appendiceal intussusception should be considered in differential diagnosis of intermittent abdominal pain and colonoscopic diagnosis could be very important to avoid dangerous or unnecessary decision making.
Tavakkoli
Hamid
H
Department of Gastroenterology, Alzahra Hospital, Isfahan University of Medical Sciences (IUMS), Poursina Hakim Research Institute, Isfahan, Iran. h_tavakoli@med.mui.ac.ir
Sadrkabir
Sayed-Mohammad
SM
Mahzouni
Parvin
P
D015746:Abdominal Pain / Q000209:etiology*; D000368:Aged; D001064:Appendicitis / Q000175:diagnosis; D001065:Appendix; D002429:Cecal Diseases / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D003113:Colonoscopy; D003937:Diagnosis, Differential; D006801:Humans; D007443:Intussusception / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D008297:Male
Acta Chir Belg. 1996 Nov-Dec;96(6):287-90
9008772
Dis Colon Rectum. 1984 Jun;27(6):387-92
6734362
Surg Today. 1992;22(5):470-3
1421871
J Reprod Med. 1984 Aug;29(8):625-9
6481717
Am J Gastroenterol. 1982 Aug;77(8):556-8
7102638
N Engl J Med. 2000 Apr 27;342(17 ):1272-8
10781625
Pediatr Radiol. 2001 Mar;31(3):180-3
11297082
J Clin Ultrasound. 2006 Sep;34(7):348-51
16869013
Radiology. 1985 Apr;155(1):41-4
3975417
Am Surg. 1994 Dec;60(12):982-4
7992980
World J Gastroenterol. 2006 Feb 14;12(6):971-3
16521230
J Pediatr Surg. 2005 May;40(5):872-4
15937835
Turk J Gastroenterol. 2006 Sep;17(3):233-5
16941263
Am J Gastroenterol. 1988 Nov;83(11):1301-3
3189267
J Belge Radiol. 1991 Mar;74(2):115-6
2061272
J Pediatr Gastroenterol Nutr. 1987 Sep-Oct;6(5):818-20
3694379
Dig Surg. 2001;18(5):422-6
11721121
Br J Surg. 1989 Aug;76(8):815-6
2765835
Am J Gastroenterol. 2000 Jun;95(6):1594-6
10894612
Endoscopy. 2002 Sep;34(9):749
12195340
J Can Assoc Radiol. 1980 Dec;31(4):276-7
7451548
JSLS. 2005 Oct-Dec;9(4):488-90
16381375
J Clin Ultrasound. 2000 Nov-Dec;28(9):492-6
11056028
Gastrointest Endosc. 1976 Aug;23(1):44
964591
J Cyst Fibros. 2005 Sep;4(3):203-4
15993655
Gastrointest Endosc. 2000 Jul;52(1):130-1
10882984
Gastrointest Radiol. 1987;12(2):163-5
3549418
N Z Med J. 2003 Apr 17;116(1172):U403
12740623
Endoscopy. 2006 Jul;38(7):763
16586250
J Korean Med Sci. 2005 Aug;20(4):680-2
16100466
AJR Am J Roentgenol. 2006 Sep;187(3):W325-6
16928915
Jpn J Surg. 1987 May;17(3):195-8
3626215
Surg Today. 1995;25(9):834-7
8555705
Jpn J Clin Oncol. 2003 Aug;33(8):413-5
14523063
Int J Colorectal Dis. 2000 Jun;15(3):185-7
10954193
Dis Colon Rectum. 1991 Jan;34(1):85-8
1991428
S Afr J Surg. 1993 Sep;31(3):104-6
8128321
Intern Med. 2004 Jun;43(6):479-83
15283183