APPENDICULAR INVAGINATION DUE TO ENDOMETRIOSIS
Background. Invagination of the vermiform appendix is a very rare occurrence. We summarize epidemiologic and etiologic factors, types of classification, symtomatology, diagnostic features and treatment.
Patients and treatment. The authors present 49-years old female with long-standing abdominal pains, who came in our hospital due to acute exacerbation with sever abdominal pain. Because of progressive symptoms and sensitivity in the right-lower abdominal quadrant a diagnostic laparoscopy was performed. An anomaly of cecum and the absence of appendix vermiformis have forced us to proceed with laparotomy in McBurnay point. After cecotomy an invaginated gangrenous appendix was found. The histological examination revealed endometriosis.
Conclusions. By presenting this extremely rare pathology we also want to emphasize the important role of diagnostic laparoscopy in front of acute abdomen.
McKidd J. Case of invagination of the cecum and appendix. Edinb Med J 1858; 4: 793–6.
Maingot R. Abdominal operations. New York: ACC, 1980: 1470–1.
Nyam. An endoscopic diagnosis of appendicular intussusception in chronic appendicitis. Sing Med J 1997; 33.
Frasser K. Intussusception of the appendix. Br J Surg 1943; 31: 23–33.
Collins DC. 71.000 human appendix specimens. A final report, summarizing forty years’ study. Am J Proctol 1963; 14: 365–81.
Wakeley C. Lancet 1939; 2: 691.
Fink VH et al. Intussusception of the appendix. Am J Gastroenterol 1964; 42: 431–41.
Lawrence RN. Asymptomatic intussusception of the appendix due to endometriosis. South Med J 1999; 92: 524–5.
Shiroko T. A case of tubular adenoma of the appendix with cecal intussusception. Jpn J Gastroenterol Surg 2000; 33: 745–9.
Ho L et al. Complete invagination of the vermiform appendix with villous adenoma, intussuscepting to the splenic flexure of the colon. Surg 1975; 77: 505–6.
Sadahiro S et al. A case of cecocolic intussusception with complete invagination and intussusception of the appendix with villous adenoma. Dis Colon Rectum 1991; 34: 85–8.
Larsen SG et al. Invagination of the appendix with carcinoid tumor. Eur J Surg 1999; 165: 993–7.
Hameed K. Villous adenoma of the vermiform appendix. Arch Pathol 1966; 81: 465–8.
Pettigrew RA. Invasive carcinoma arising in villous adenoma of the appendix. Aust N Z J Surg 1980; 50: 627–9.
Geerdsen J et al. Invagination of the vermiform appendix. Acta Chir Scand 1976; 142: 417–9.
Lauwers GY. Invagination of the vermiform appendix. Gig Dis Sci 1993; 38: 565–8.
Panzer S. Intussusception of the appendix due to endometriosis. Am J Gastroenterol 1995; 90: 1892–3.
Wong EW. Intussusception secondary to acute appendicitis. http:// www.arrs.org/.
McSwain B. Intussusception of the appendix. South Med J 1941; 34: 263– 71.
Dunavant D et al. Intussusception of the appendix. Ann Surg 1952; 135: 287.
Atkinson GO et al. Intussusception of the appendix in children. Am J Roentgenol 1976; 126: 1164–8.
Jehannin B et al. Primary intussusception of the appendix. Chir Pediatr 1980; 21: 349–51.
Wirtschafter SK. Endoscopic appendectomy. Gastroinest Endosc 1976; 22: 173–3.
Enander LK. Colonoscopic appendectomy. A report of two cases. Acta Chir Scand 1979; 145: 575–6.
Fazio RA. Endoscopic removal of an intussuscepted appendix mimicking a polyp: An endoscopic hazard. Am J Gastroenterol 1982; 77: 556–8.
The Author transfers to the Publisher (Zdravniški vestnik/Slovenian Medical Journal) all economic copyrights following form Article 22 of the Slovene Copyright and Related Rights Act (ZASP), including the right of reproduction, the right of distribution, the rental right, the right of public performance, the right of public transmission, the right of public communication by means of phonograms and videograms, the right of public presentation, the right of broadcasting, the right of rebroadcasting, the right of secondary broadcasting, the right of communication to the public, the right of transformation, the right of audiovisual adaptation and all other rights of the author according to ZASP.
The aforementioned rights are transferred non-exclusively, for an unlimited number of editions, for the term of the statutory
The Author can make use of his work himself or transfer subjective rights to others only after 3 months from date of first publishing in the journal Zdravniški vestnik/Slovenian Medical Journal.
The Publisher (Zdravniški vestnik/Slovenian Medical Journal) has the right to transfer the rights, acquired parties without explicit consent of the Author.
The Author consents that the Article be published under the Creative Commons BY-NC 4.0 (attribution-non-commercial) or comparable licence.