Abstract:
Objective
To study the clinical characteristics and the methods of diagnosis and treatment for appendiceal Intussusception.
Methods
The clinical data of 5 patients with appendiceal Intussusception treated from January 1990 to December 2006 were analyzed.
Results
The clinical manifestations included vague,recurrent,cramping abdominal pain in 2 cases,2 cases potential to mimic acute appendicitis and abdominal mass in 1 cases.Of the 5 cases,ultrasound examination were performed in 2 cases,simple abdominal radiography in 3 cases and colonoscopy in 1 case.All the cases undervent operations which showed appendiceal Intussusception.
Conclusions
Appendiceal Intussusception is rare.It is more difficult to make right diagnosis preoperatively.Colonoscopy may be facilitated in preoperative diagnosis.It is important for the endoscopist to remember that the appendiceal intussusception may mimic a cecal polyp and avoid endoscopic removal and the potential hazards.Surgery was the first choice of therapy.
Key words:
Intussusception,
Appendix,
Diagnosis,
Treatment
Jiang-long Huang, Hong-bo Wei, Bo Wei, Tu-feng Chen, Feng Zheng, Wan-shou Qiu, Bao-guang Hu, Gui-li Chen, Qun-ai Huang. Diagnosis and treatment of appendiceal Intussusception[J]. Chinese Archives of General Surgery(Electronic Edition), 2007, 01(01): 55-57.