J Korean Radiol Soc.  2000 Sep;43(3):327-330. 10.3348/jkrs.2000.43.3.327.

Complete Invagination of Vermiform Appendix with Adenocarcinoma

• Seo YL
• Choi CS
• Kim HC
• Bae SH
• Kim DH

• KMID: 1832718
• DOI: http://doi.org/10.3348/jkrs.2000.43.3.327

Abstract

Appendiceal intussusception is a very rare pathological condition, an incidence, as revealed by appendectomy specimens, of only 0.01 percent. There are various types among which complete invagination of the appendix is very rare. We encountered a case of intussusception of the appendix with complete invagination induced by appendiceal adenocarcinoma. A preoperative diagnosis of appendiceal adenocarcinoma and intussusception was not possible, but a final pathological report confirmed these conditions and retrospective analysis of a barium enema showed a finger-like filling defect of the cecum, a relatively specific finding in such cases. We describe a case involving a 39-year old man who one month earlier had noted the onset of pain in the right lower abdomen.

Keyword

Appendix, neoplasms; Appendix, CT; Colon, intussusception

MeSH Terms

Abdomen
Adenocarcinoma*
Adult
Appendectomy
Appendix*
Barium
Cecum
Diagnosis
Enema
Humans
Incidence
Intussusception
Retrospective Studies
Barium