Intussusception of the appendix is a rare condition with an incidence of approximately 0.01%. In adults, the lead point for the intussusception is most frequently endometriosis, whereas in children, acute inflammation of the appendix is usually the cause (76%). This case report presents a 41-year-old woman who was referred to hospital care primarily due to blood in her stool and a 1 × 3 cm polypous tumour in her caecum, observed during colonoscopy. She had no gynaecologic history and a normal exam. A right-sided hemicolectomy was performed and pathology showed endometriosis and acute and chronic inflammation.
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Cureus
December 2024
Department of General Surgery, Uttar Pradesh University of Medical Sciences, Saifai, IND.
Enteroenteric fistula in the pediatric age group is an unusual presentation. It can create a diagnostic dilemma for the physician, particularly in the absence of any previous surgery, prolonged abdominal symptoms, or inflammatory bowel disease. The patient is a 10-year-old girl who presented with mild-grade fever, abdominal distension, scanty stool passage, and foul-smelling vomiting for the past 10 days.
View Article and Find Full Text PDFIntussusception, 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.
View Article and Find Full Text PDFSurgeon
December 2024
Southport and Formby district general hospital, Mersey and West Lancashire NHS trust, UK.
Surg Case Rep
November 2024
Department of Surgery, Japan Organization of Occupational Health and Safety, Nagasaki Rosai Hospital, Nagasaki, Japan.
Background: Intussusception of the appendiceal endometriosis is rare. Although approximately 200 cases of appendiceal intussusception have been reported in the literature, very few have ever been diagnosed preoperatively. Here, we report the case of intussusception of the appendiceal endometriosis with laparoscopic ileocecal resection.
View Article and Find Full Text PDFCureus
September 2024
Pediatric Surgery, Massachusetts General Hospital, Boston, USA.
Meckel's diverticulum (MD) is known to cause surgical emergencies including intussusception, obstruction, and bleeding, but rarely results in perforation with pneumoperitoneum. Symptomatic MD is rare but most commonly presents in early childhood. We report a case of a 17-year-old male who presented with peritonitis and radiographic imaging demonstrating pneumoperitoneum and inflammation near the appendix and terminal ileum.
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