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Endometriosis-induced intussusception of the caecal appendix
- Publication Year :
- 2014
-
Abstract
- Appendicular intussusception is an uncommon entity, with a reported incidence of 0.01%. The diagnosis is difficult and often only performed at the time of surgery. Intussusception has multiple causes including tumours, foreign bodies and polyps. The definitive treatment is surgical, and the extent of resection is determined by the underlying pathology and degree of invagination. Endometriosis is a rare cause of appendicular intussusception, with 194 cases described in the English literature. We report a case of a 42-year-old woman who presented with chronic abdominal pain in the lower right quadrant. A mass at the caecum was identified during investigations for renal stones by CT. Colonoscopy showed a polypoid lesion, with presumed origin in the appendix. Ileocaecal resection was performed because an appendicular tumour was suspected. Pathological examination identified endometriosis of the appendix and associated peritoneum with invagination of the caecum. The patient was discharged 7 days after surgery and is currently asymptomatic.
- Subjects :
- Adult
medicine.medical_specialty
Endometriosis
Colonoscopy
Appendix
Asymptomatic
Article
Diagnosis, Differential
Intussusception (medical disorder)
medicine
Cecal Diseases
Humans
Pathological
Endometriose
Abdomen, Acute
medicine.diagnostic_test
business.industry
Doenças do Ceco
Invagination
General Medicine
medicine.disease
digestive system diseases
Surgery
medicine.anatomical_structure
Female
Colonoscopia
medicine.symptom
Differential diagnosis
Intussuscepção
business
Tomography, X-Ray Computed
Intussusception
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Accession number :
- edsair.doi.dedup.....1c8dcef17a80eaf589b9905f7d0ef881