Intussusception of the appendix is an extremely rare condition. Although approximately 200 cases of appendiceal intussusception have been reported in the literature, very few have ever been diagnosed preoperatively. We report a case of appendiceal intussusception secondary to endometriosis in an otherwise healthy female. The case was diagnosed preoperatively by colonoscopy and treated surgically at laparoscopy. We review the literature of appendiceal intussusception and discuss the associated conditions, diagnosis, and a classification scheme for this unusual finding.
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Intussusception, a condition in which one part of the intestine telescopes into another, primarily affects children under 18 months of age. This case report details the radiologic findings in a six-year-old child with a long-standing history of recurrent ileocolic intussusception, who presented with abdominal pain and was diagnosed with intussusception-associated appendicitis. Following the fifth recurrence, the patient underwent laparoscopic reduction of the intussusception and appendectomy.
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Article Synopsis
- Intestinal intussusception is a rare condition in adults, especially in young females, characterized by one part of the intestine folding into another, causing bowel obstruction and potential blood supply issues.
- A case report details a 25-year-old female who experienced severe abdominal pain and vomiting; imaging revealed intussusception and a right appendiceal cyst, leading to surgical treatment after conservative methods failed.
- The case underscores the need for quick diagnosis using imaging techniques like CT scans for intussusception in adults, emphasizing that early intervention is crucial for effective management.
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