[Appendectomy for appendicitis by colonoscopy after a cecal invagination of the appendix during childhood].
Appendiceal intussusception (the inside-out appendix) was often practiced in pediatric surgery when the appendectomy was performed during laparotomy. Complications are exceptional. We report the first case of appendiceal intussusception in an adult appendectomized by this procedure during childhood, reviewing the radiological aspect, pathogenesis, and treatment. This delayed complication of appendiceal intussusception should be known to the surgeon. Treatment during colonoscopy is possible. This inflammation of the vaginated appendix can be prevented by coagulating the appendicular vessels to the serous membrane before turning it inside-out.
Service chirurgie viscérale, Centre hospitalier intercommunal des Alpes du Sud - Gap, France. pierrre.blanc@chicas-gap.fr
P
P
Blanc
F
F
Delacoste
P
P
Chevassus
A
A
Espin
A
A
Kadam
J
J
Atger
D000328:Adult; D001062:Appendectomy / Q000379:methods*; D001064:Appendicitis / Q000209:etiology / Q000601:surgery*; D002429:Cecal Diseases / Q000150:complications / Q000601:surgery*; D003113:Colonoscopy; D006801:Humans; D007443:Intussusception / Q000150:complications / Q000601:surgery*; D008297:Male