A Case of Appendiceal Intussusception by Endometriosis

Hideo Baba, Futoshi Oikawa
In: Nippon Daicho Komonbyo Gakkai Zasshi · 2007 · vol. 60(5) , pp. 264–268 · doi:10.3862/jcoloproctology.60.264 · W2019144558
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This case report describes a 34-year-old woman with appendiceal intussusception caused by endometriosis, presenting as an ileocecal mass and managed via laparoscopic ileocecal resection.

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This case report describes a 34-year-old female presenting with hematochezia, who was initially suspected of having a cecal tumor based on colonoscopy and CT findings. Laparoscopic surgery revealed complete appendiceal intussusception, leading to a right hemicolectomy, during which pelvic endometriosis was also observed. Histopathological examination confirmed that endometriosis involving the entire length of the appendix caused the intussusception, a rare clinical presentation documented in this study. This paper is centrally about endometriosis — specifically describing a rare case where deep infiltrating endometriosis of the appendix led to complete appendiceal intussusception.

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Abstract

完全型虫垂重積症を呈した虫垂子宮内膜症の1例を経験したので報告する. 症例は34歳, 女性. 血便を主訴に前医を受診し, 大腸内視鏡検査で盲腸腫瘍が見つかり当院を紹介された. 内視鏡検査では虫垂開口部付近に粘膜下腫瘍様の像を呈するポリープ状病変を認めた. 注腸検査では盲腸に3cm大の隆起性病変を認めた. 腹部CT検査では盲腸内腔に中心部がhighな隆起性病変を認めた. 以上より虫垂重積症と診断し腹腔鏡下手術を施行した. 骨盤内腹膜に子宮内膜症を認め, 盲腸内に重積した虫垂を確認し回盲部切除を施行した. 病理組織検査で虫垂全長にわたり子宮内膜症を認め, 子宮内膜症が原因で形成された虫垂重積症と診断した. 完全型虫垂重積症を呈した虫垂子宮内膜症は稀であり, 若干の文献的考察を加え報告する.
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症例報告 完全型虫垂重積を呈した虫垂子宮内膜症の1例 2007 年 60 巻 5 号 p. 264-268 詳細 抄録 完全型虫垂重積症を呈した虫垂子宮内膜症の1例を経験したので報告する. 症例は34歳, 女性. 血便を主訴に前医を受診し, 大腸内視鏡検査で盲腸腫瘍が見つかり当院を紹介された. 内視鏡検査では虫垂開口部付近に粘膜下腫瘍様の像を呈するポリープ状病変を認めた. 注腸検査では盲腸に3cm大の隆起性病変を認めた. 腹部CT検査では盲腸内腔に中心部がhighな隆起性病変を認めた. 以上より虫垂重積症と診断し腹腔鏡下手術を施行した. 骨盤内腹膜に子宮内膜症を認め, 盲腸内に重積した虫垂を確認し回盲部切除を施行した. 病理組織検査で虫垂全長にわたり子宮内膜症を認め, 子宮内膜症が原因で形成された虫垂重積症と診断した. 完全型虫垂重積症を呈した虫垂子宮内膜症は稀であり, 若干の文献的考察を加え報告する. © 2007 日本大腸肛門病学会 この記事はクリエイティブ・コモンズ [表示 - 非営利 - 改変禁止 4.0 国際]ライセンスの下に提供されています。 https://creativecommons.org/licenses/by-nc-nd/4.0/deed.ja

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endometriosis

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