Intussusception of a mucocele of the appendix secondary to an obstruction by endometriosis: report of a case

We treated a patient with a complete invagination of the cecum which contained a mucocele of the appendix secondary to an obstruction by endometriosis. Preoperatively, a barium enema showed a crab's claw-like area without filling in the oral side of the transverse colon. An emergency laparotomy...

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Bibliographic Details
Published inSurgery today (Tokyo, Japan) Vol. 29; no. 7; pp. 629 - 632
Main Authors Kimura, H, Konishi, K, Yabushita, K, Maeda, K, Tsuji, M, Miwa, A
Format Journal Article
LanguageEnglish
Published Japan 01.01.1999
Subjects
Adult
Appendectomy
Appendix
Cecal Diseases - etiology
Cecal Diseases - pathology
Cecal Diseases - surgery
Endometriosis - complications
Female
Humans
Hyperplasia
Intussusception - etiology
Intussusception - pathology
Intussusception - surgery
Mucocele - etiology
Mucocele - pathology
Mucocele - surgery
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Summary:We treated a patient with a complete invagination of the cecum which contained a mucocele of the appendix secondary to an obstruction by endometriosis. Preoperatively, a barium enema showed a crab's claw-like area without filling in the oral side of the transverse colon. An emergency laparotomy was performed and revealed a mucocele of the appendix to have induced appendicecal invagination; however, no colonic invagination was observed. An appendicecal resection was thus done. Pathologically, the resected specimen was a mucosal hyperplasia with mucin-secreting lesions of the appendix. The theories regarding the pathogenesis of appendicecal mucocele are reviewed and discussed.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
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ISSN:0941-1291
1436-2813
DOI:10.1007/bf02482989