J Korean Med Sci.  2005 Aug;20(4):680-682. 10.3346/jkms.2005.20.4.680.

Colonoscopic Diagnosis of Appendiceal Intussusception: A Case Report

• Ryu BY
• Kim TH
• Jeon JY
• Kim HK
• Choi YH
• Baik GH

• KMID: 1712755
• DOI: http://doi.org/10.3346/jkms.2005.20.4.680

Abstract

Intussusception of the appendix is an uncommon condition and the diagnosis is rarely made preoperatively. Intussusception of the appendix may mimic a neoplastic lesion. Colonoscopy is a valuable tool for diagnosis of the appendiceal intussusception. A 17-yr-old female admitted with repeated abdominal pain, nausea, vomiting and febrile sensation. We diagnosed as appendiceal intussusception by colonoscopy, which showed a polypoid tumor (about 1.5 cm) in the cecum. This sessile polypoid mass looks like foreskin or glans. We present colonoscopic finding of appendiceal intussusception and review the literature.

Keyword

Intussusception; Appendix; Colonoscopy

MeSH Terms

Adolescent
*Appendix
Cecal Diseases/*diagnosis
*Colonoscopy
Female
Humans
Intussusception/*diagnosis

Figure

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  Fig. 1 Colonoscopic finding; A sessile polypoid mass shown in the cecum.

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  Fig. 2 Mucosa of the appendix (blue) is noted in the outer surface. The red core is corresponding to the fibromuscular wall of the appendix (H&E, ×40).

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