A Case of Idiopathic Appendiceal Intussusception

Takeshi Amemiya, Hirosi Hasegawa, Seiji Ogiso, Masaya Shiomi, Masato Momiyama, Tsuyoshi Igami, Shyusaku Ohira, Yu Takahashi, Keisuke Uehara and Susumu Miyazaki

Department of Surgery, Nagoya Daini Red Cross Hospital

A 57-year-old woman was admitted to our hospital because of a palpable mass in the right lower quadurant of the abdomen. Abdominal ultrasonography (US) and computed tomography (CT) showed a target-like appearance on right lower abdomen. Barium enema showed a crab-finger finding the cecum with nonfilling of the appendix. Endocopic examination of her colon showed polypoid mass, foreskin and glans-like in the cecum. After cannulation dimple and injection of contrast medium, the lumen was appeared. A diagnosis of primary appendiceal intussusception was determined. However appendiceal intussusception was not inproved by laparotomy, so ilececal resection was carried out. Sugical specimen shoewd the appendix invagnated into the cecal lumen, mesuring 5×2cm in size.

Key words
appendix, intussusception

Reprint requests
Takeshi Amemiya Department of Surgery, Nagoya Daini Red Cross Hospital 2-9 Myoken-cho, showa-ku, Nagoya, 466-8650 JAPAN

Accepted
October 26, 1999

To read the PDF file you will need Abobe Reader installed on your computer.