A Case of Complete Intussusception Induced by Cancer of the Appendix

Yoshiaki Ikuta, Shigenori Sugihara, Hiroaki Kobayashi, Takayuki Kaneko, Tetsuhiro Egami and Yoshihiro Horichi^*

Department of Surgery, Shimonoseki Kousei Hospital Hotaru Clinic Hospital^*

A case of complete Intussusception induced by cancer of the appendix is reported. The patient was a 74-year-old woman. Barium enema and colonofiberscopy were performed because of a positive occult blood on a fecal examination. A diagnosis of colon cancer was made preoperatively, and laparoscopic-assisted ileocolectomy with dissection of regional lymph nodes was performed. Intussusception of the appendix was found intraoperatively and in the postoperative specimen. Microscopic examination revealed well differentiated adenocarcinoma limited to the proper muscle of the appendix. Since cancer of the appendix is rare, and diagnosis of Intussusception with cancer of the appendix is very difficult, this disease should always be taken into consideration when diagnosing diseases of the cecum.

Key words
cancer of the appendix, intussusception of the appendix

Reprint requests
Yoshiaki Ikuta Department of Surgery, Shimonoseki Kousei Hospital 3-3-8 Kamishinchi, Shimonoseki, 750-0061 JAPAN

Accepted
October 31, 2000

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