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Appendiceal Intussusception Due to Endometriosis, Report of a Case Tatsuyuki Watanabe 1 , Keiichiro Kume 1 , Ichiro Yoshikawa 1 , Atsuji Matsuyama 2 , Masaru Harada 1 1The Third Department of Internal Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan 2Department of Pathology and Oncology, University of Occupational and Environmental Health, Kitakyushu, Japan Keyword: 子宮内膜症 , 腸重積 , 虫垂 , 粘液囊胞腺腫 pp.1591-1599
Published Date 2015/11/25
DOI https://doi.org/10.11477/mf.1403200476
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 A 40-year-old woman underwent colonoscopy and barium enema to further evaluate clinical findings of fecal occult blood. Results from the procedures demonstrated the presence of an elevated smooth lesion in the colon that tapered in a stepwise fashion from its base. Based on this finding, the intussusception of the appendix caused by an appendiceal tumor was suspected, and ileocecal resection was subsequently performed. Operative findings revealed the muscular layer of the appendix and cecum to be thickened and the appendix was found to be inverted into the cecum. Additionally, endometrial tissue was present within the thickened muscular and subserosa layers. Appendiceal intussusception due to intestinal endometriosis is a relatively rare condition, and pre-operative diagnosis can be quite difficult. Here we describe various radiographic and endoscopic findings characteristic of appendiceal intussusception.


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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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