A Case of Appendiceal Intussusception Related to Asymptomatic Endometriosis

Mizuki Takeuchi, Taisuke Otani, Mari Nakagawa, Gen Ebara, Yuji Takeuchi, Hiroyuki Takayanagi, Daichi Noda, Ryota Matsuo
In: Nihon Gekakei Rengo Gakkaishi (Journal of Japanese College of Surgeons) · 2019 · vol. 44(6) , pp. 1067–1072 · doi:10.4030/jjcs.44.1067 · W3041050332
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A 71-year-old woman with a history of endometriosis presented with an appendiceal intussusception caused by endometriosis, successfully treated with laparoscopic ileocecal resection.

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Abstract

症例は71歳女性，既往歴に子宮内膜症と子宮筋腫に対する手術歴あり．当院内科で逆流性食道炎に対して加療中であった．スクリーニング目的で下部消化管内視鏡検査を施行したところ，盲腸に隆起性病変を認めた．病理生検にて悪性所見を認めなかったため経過観察としていたが，増大傾向にあり当科紹介となった．腹部造影CTにて盲腸内腔に突出した長径20mmの腫瘤を認めた．回結腸動脈沿いにリンパ節腫大を伴っていたため，悪性腫瘍も念頭に置き，腹腔鏡補助下回盲部切除術を行う方針とした．病理組織標本では盲腸内腔に反転した虫垂を認め，虫垂壁や盲腸壁内には子宮内膜腺を伴っており，虫垂子宮内膜症により生じた虫垂重積と診断した．経過は良好で術後10日目に退院した．

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Condition tags

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 (16)

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last seen: 2026-06-04T00:00:01.174412+00:00
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