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Adult intussusception secondary to an appendiceal tumour in a patient with ulcerative colitis: a case report
- Source :
- Surgical Case Reports, Vol 6, Iss 1, Pp 1-5 (2020), Surgical Case Reports
- Publication Year :
- 2020
- Publisher :
- SpringerOpen, 2020.
-
Abstract
- Background Intussusception in adult patients is uncommon and appendiceal lead points are particularly rare. Case presentation We present the case of a 42-year-old male with a history of ulcerative colitis, presenting with sudden onset abdominal pain and bloody diarrhoea. Endoscopy revealed grossly normal mucosa in the descending colon with a congested polypoid mass in the proximal transverse colon. Computed tomography revealed ileocecal intussusception at the hepatic flexure. A right hemicolectomy was performed, where a grossly dilated appendix was noted, resected and sent for histopathological evaluation. Results revealed low-grade appendiceal mucinous neoplasm. Post-operatively, the patient remained symptom free, however required reintroduction of biologic therapy due to relapse of his ulcerative colitis 12 weeks later. Conclusion This case depicts a rare acute surgical presentation and reminds physicians and surgeons of the importance of ‘thinking outside the box’ in clinical practice.
- Subjects :
- medicine.medical_specialty
Abdominal pain
medicine.diagnostic_test
business.industry
IBD
Transverse colon
lcsh:Surgery
Case Report
LAMN
lcsh:RD1-811
medicine.disease
Ulcerative colitis
Appendix
Hepatic Flexure
Endoscopy
Descending colon
medicine.anatomical_structure
Intussusception (medical disorder)
medicine
Radiology
medicine.symptom
business
Intussusception
Subjects
Details
- Language :
- English
- ISSN :
- 21987793
- Volume :
- 6
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Surgical Case Reports
- Accession number :
- edsair.doi.dedup.....143eb3efc06de2e8545af629ce0fcbe6