Korean J Gastrointest Endosc > Volume 40(3); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;40(3): 195-198.
점액낭종성 선종에 의한 무증상의 충수돌기 장중첩증 1예
서 원ㆍ박원철ㆍ임태수ㆍ강동백ㆍ오정택ㆍ이정균ㆍ김기훈*ㆍ윤기중
원광대학교 의과대학 외과학교실, *내과학교실, 병리학교실
A Case of Asymptomatic Appendiceal Intussusception by Mucinous Cystadenoma
Won Seo, M.D., Won Cheol Park, M.D., Tae Su Lim, M.D., Dong Baek Kang, M.D., Jung Taek Oh, M.D., Jeong Kyun Lee, M.D., Ki Hoon Kim, M.D.* and Ki Jung Yun, M.D.
Departments of Surgery, *Internal Medicine and Pathology, Wonkwang University College of Medicine, Iksan, Korea
Abstract
Appendiceal intussusception has rarely been reported, and this has an incidence of 0.01% when performing appendectomy. It develops due to anatomical or pathological conditions such as polyps, worms, carcinomas, mucoceles or fecaliths. Patients with appendiceal intussusception present with various clinical symptoms from no symptoms to acute or chronic lower abdominal pain like that in appendicitis. Yet making the accurate preoperative diagnosis is sometimes difficult. Advanced colonoscopy has recently made it possible to arrive at the preoperative diagnosis and colonoscopy provides the optimal management of appendiceal intussusceptions that show various clinical symptoms. We report here on a 62- year-old woman who has no clinical symptoms of appendiceal intussusception, and the patient was preoperatively diagnosed by colonoscopy and managed with laparoscopic partial cecectomy. The final diagnosis was mucinous cystadenoma- induced appendiceal intussusception. (Korean J Gastrointest Endosc 2010;40:195- 198)
Key Words: Appendiceal intussusception, Asymptomatic, Colonoscopy
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