Failure of appendectomy to resolve appendiceal intussusception.
Appendiceal intussusception is a rare entity that primarily affects children. The optimal surgical management is not known. We describe a child with appendiceal intussusception treated by simple appendectomy who suffered recurrent intussusception of the cecum at the base of the appendiceal stump. He was cured by resection of a rim of cecum around the appendiceal staple line. Partial cecectomy with appendectomy may be the most effective operation for appendiceal intussusception.
Lipskar
Aaron
A
Department of Surgery, Division of Pediatric Surgery, Schneider Children's Hospital, North Shore-Long Island Jewish Health System, New Hyde Park, NY 11040, USA. alipskar@nshs.edu
Telem
Dana
D
Masseaux
Joy
J
Midulla
Peter
P
Dolgin
Stephen
S
D001062:Appendectomy / Q000009:adverse effects / Q000379:methods*; D001065:Appendix / Q000601:surgery; D002429:Cecal Diseases / Q000175:diagnosis / Q000601:surgery*; D002431:Cecostomy / Q000379:methods; D002432:Cecum / Q000000981:diagnostic imaging / Q000601:surgery*; D002648:Child; D005500:Follow-Up Studies; D006801:Humans; D007443:Intussusception / Q000175:diagnosis / Q000601:surgery*; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery; D012008:Recurrence; D012086:Reoperation; D018570:Risk Assessment; D014057:Tomography, X-Ray Computed; D017211:Treatment Failure