Endometriosis-induced intussusception of the caecal appendix

Marta Costa, Costa M, Ana Bento, Bento A, Batista H, Hamilton Batista, Oliveira F, Fernando Oliveira
BMJ case reports · 2014 · vol. 2014 , pp. bcr2013200098 · doi:10.1136/bcr-2013-200098 · PMID:25477360 · PMC4256665 · W2313103465
Case report OA: bronze CC0 ⤵ 7 in-corpus citations
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This case report describes a 42-year-old woman with endometriosis of the appendix and peritoneum causing caecal intussusception, treated with ileocaecal resection.

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Abstract

Appendicular intussusception is an uncommon entity, with a reported incidence of 0.01%. The diagnosis is difficult and often only performed at the time of surgery. Intussusception has multiple causes including tumours, foreign bodies and polyps. The definitive treatment is surgical, and the extent of resection is determined by the underlying pathology and degree of invagination. Endometriosis is a rare cause of appendicular intussusception, with 194 cases described in the English literature. We report a case of a 42-year-old woman who presented with chronic abdominal pain in the lower right quadrant. A mass at the caecum was identified during investigations for renal stones by CT. Colonoscopy showed a polypoid lesion, with presumed origin in the appendix. Ileocaecal resection was performed because an appendicular tumour was suspected. Pathological examination identified endometriosis of the appendix and associated peritoneum with invagination of the caecum. The patient was discharged 7 days after surgery and is currently asymptomatic.

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Condition tags

endometriosis

MeSH descriptors

Appendix Appendix Cecal Diseases Endometriosis Intussusception Abdomen, Acute Abdomen, Acute Abdomen, Acute Adult Adult Cecal Diseases Cecal Diseases Cecal Diseases Cecal Diseases Cecal Diseases Colonoscopy Colonoscopy Diagnosis, Differential Diagnosis, Differential Endometriosis

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (13)

Cited by (7)

Source provenance

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License: CC0 · commercial use OK