Appendiceal Intussusception
https://doi.org/10.23934/2223-9022-2021-10-1-135-140
Abstract
The pathology of the appendix remains one of the topical areas of abdominal surgery. Its rare diseases can be difficult to diagnose and treat, and are accompanied by the development of serious complications. One of them is intussusception of the appendix to the cecum. Intussusception can be caused by previously undiagnosed primary lesions of the appendix. At the same time, it can simulate tumor and tumor-like formations of the cecum and lead to diagnostic errors. The literature review provides modern data on the history of the study of the problem, the epidemiology of classification, the causes and mechanisms of the development of appendiceal intussusception, the methods of its diagnosis and treatment.
About the Authors
S. S. MaskinRussian Federation
Doctor of Medical Sciences, Professor, Head of the Department of Hospital Surgery
1 Pavshikh Bortsov Sq., Volgograd, 400131, Russian Federation
N. I. Fetisov
Russian Federation
Candidate of Medical Sciences, Associate Professor of the Department of Hospital Surgery
1 Pavshikh Bortsov Sq., Volgograd, 400131, Russian Federation
V. V. Matyukhin
Russian Federation
Candidate of Medical Sciences, Associate Professor of the Department of Hospital Surgery
1 Pavshikh Bortsov Sq., Volgograd, 400131, Russian Federation
C. Yuan
Russian Federation
Postgraduate student of the Department of Hospital Surgery
1 Pavshikh Bortsov Sq., Volgograd, 400131, Russian Federation
References
1. Kaliteevskiy PF. Bolezni cherveobraznogo otrostka. Mosсow: Meditsina Publ.; 1970. (in Russ.).
2. Davidovich TV, Karpenko EB, Mikhaylov IV, Kravtsov SA. Sluchay appendikotsekal’noy invaginatsii. News of Beam Diagnostics Belarus. 2000;2:34-35. (in Russ.)
3. Dolzhikov AA, Migunov AA, Lugovskoy SL. Acute Appendicitis in a Rare Variant of Invagination of the Vermiform Appendix. Case Report and Review of Literature. Research Result. Medicine and Pharmacy. 2017;3(3):3–11. https://doi.org/10.18413/2313-8955-2017-3-3-3-11 (in Russ.)
4. Rukosuev K.S. Redkiy sluchay invaginatsii cherveobraznogo otrostka. Arkhiv Patologii. 1962;2:80–82. (In Russ.)
5. Chaar CI, Wexelman B, Zuckerman K, Longo W. Intussusception of the appendix: comprehensive review of the literature. Am J Surg. 2009;198(1):122–128. PMID: 19249733. https://doi.org/10.1016/j.amjsurg.2008.08.023
6. Collins DC. 71.000 human appendix specimens. A final report, summarizing forty years’ study. Am J Proctol. 1963;14:265–281. PMID: 14098730
7. Jevon GP, Daya D, Qizilbash AH. Intussusception of the appendix. A report of four cases and review of the literature. Arch Pathol Lab Med. 1992;116(9):960–964 PMID: 1524463
8. Ryu BY, Kim TH, Jeon JY, Kim HK, Choi YH, Baik GH. Colonoscopic diagnosis of appendiceal intussusception: a case report. J Korean Med Sci. 2005;20(4):680–682. PMID: 16100466 https://doi.org/10.3346/jkms.2005.20.4.680
9. Komine N, Yasunaga C, Nakamoto M, Shima I, Iso Y, Takeda Y et al., Intussusception of the appendix that reduced spontaneously during follow-up in a patient on hemodialysis therapy. Intern Med. 2004;43(6):479–483. PMID: 15283183 https://doi.org/10.2169/internalmedicine.43.479
10. Sousa М, Cotter J, Leão P. McSwain type V appendix intussusception. BMJ Case Rep. 2017;2017-219634. PMID: 28619971 https://doi.org/10.1136/bcr-2017-219634
11. Varsamis N, Pouggouras K, Salveridis N, Theodosiou A, Lostoridis E, Karageorgiou G, et al. Appendiceal Intussusception. In: Lule G. (ed.) Current Concepts in Colonic Disorders. London: InTech; 2012. p. 47–64. Available at: https://www.intechopen.com/books/current-concepts-in-colonic-disorders/appendiceal-intussusception [Accessed Apr 20, 2020].
12. M’Kidd J. Case of Invagination of the Cœcum and Appendix. Edinb Med J. 1859;4(9):793–796. PMID: 29648219
13. Nalivkin AE, Mashkov AE, Druzyuk EZ, Filyushkin YuN. Redkaya forma invaginatsii appendiksa v slepuyu kishku v sochetanii s ileotsekal’noy invaginatsiey kishechnika. Russian Journal of Pediatric Surgery. 2009;6:55–56. (In Russ.)
14. Akbayir N, Yildirim S, Sökmen HM, Kilic G, Erdem L, Alkim C. Intussusception of vermiform appendix with microscopic melanosis coli: а case report. Turk J Gastroenterol. 2006;17(3):233–235. PMID: 16941263
15. Chen YC, Chiang JM. Appendiceal intussusception with adenocarcinoma mimicking a cecal polyp. Gastrointest Endosc. 2000;52(1):130–131. PMID: 10882984 https://doi.org/10.1067/mge.2000.106673
16. Chua TC, Gill P, Gill AJ, Samra JS. Ileocecal Intussusception Caused by an Appendiceal Neoplasm. J Gastrointest Surg. 2016;20(4):867–868. PMID: 26831058 https://doi.org/10.1007/s11605-015-3037-3
17. Fernández-Rey CL, Costilla García S, Alvarez Blanco AM. Appendicular mucocele as cause of intestinal intussusception: diagnostic by computer tomography. Rev Esp Enferm Dig. 2010t;102(10):604–605. PMID: 21039071 https://doi.org/10.4321/s1130-01082010001000008
18. Nycum LR, Moss H, Adams JQ, Macri CI. Asymptomatic intussusception of the appen-dix due to endometriosis. South Med J. 1999;92(5):524–255. PMID: 10342903 https://doi.org/10.1097/00007611-199905000-00016
19. Salehzadeh A, Scala A, Simson JN. Appendiceal intussusceptions mistaken for a polyp at colonoscopy: case report and review of the literature. Ann R Coll Surg Engl. 2010;92(6):46–48. PMID: 20615304 https://doi.org/10.1308/147870810X12699662981591
20. Wang SM, Huang FC, Wu CH, Ko SF, Lee SY, Hsiao CC. Ileocecal Burkitt’s lymphoma presenting as ileocolic intussusception with appendiceal invagination and acute appendicitis. J Formos Med Assoc. 2010;109(6):476–479. PMID: 20610150 https://doi.org/10.1016/S0929-6646(10)60080-0
21. Yang TW, Lin YY, Tsuei YW, Chen YL, Huang CY, Hsu SD. Successful management of adult lymphoma-associated intussusception by laparoscopic reduction and appendectomy. World J Gastroenterol. 2016;22(19):4781–4785. PMID: 27217710 https://doi.org/10.3748/wjg.v22.i19.4781
22. Orzikulov TS, Yakubov RA, Abdusalomov SA. Appendic-cecal invagination simulating acute appendicitis. The bulletin of Emergency Medicine. 2011;4:67–68. (In Russ.).
23. Dunavant D, Wilson H. Intussusception of the appendix, with complete inversion of the appendix and protrusion from the anus. Ann Surg. 1952;135(2):287–288. PMID: 14903858 https://doi.org/10.1097/00000658-195202000-00017
24. Ozuner G, Davidson P, Church J. Intussusception of the vermiform appendix: preopera-tive colonoscopic diagnosis of two cases and review of the literature. Int J Colorectal Dis. 2000;15(3):185–187. PMID: 10954193 https://doi.org/10.1007/s003840000225
25. Seddik H, Rabhi M. Two cases of appendiceal intussusception: a rare diagnostic pitfall in colonoscopy. Diagn Ther Endosc. 2011;2011:198984. PMID: 21603019 https://doi.org/10.1155/2011/198984
26. Lee DJ, Kim HC, Yang DM, Kim SW, Ryu JK, Won KY, et al. A case of intussuscep-tion of the appendix secondary to endometriosis: US and CT findings. J Clin Ultrasound. 2015;43(7):443–446. PMID: 24956121 https://doi.org/10.1002/jcu.22188
27. Quirante FP, Montorfano LM, Serrot F, Billington ME, Da Silva G, Lo Menzo E, et al. The case of the missing appendix: a case report of appendiceal intussusception at the site of co-lonic mullerianosis. Gastroenterol Rep (Oxf). 2017;5(4):309–312. PMID: 26383877 https://doi.org/10.1093/gastro/gov041
28. Soylu L, Aydın OU, Aydın S, Özçay N. Invagination of the appendix due to endometri-osis presenting as acute appendicitis. Ulus Cerrahi Derg. 2014;30(2):106–108. PMID: 25931894 https://doi.org/10.5152/UCD.2013.19
29. Dainius E, Pankratjevaite L, Bradulskis S, Venskutonis D. Intussusception of the Ap-pendix and Ileum Endometriosis: A Case Report. Visc Med. 2016;32(3):211–213. PMID: 27493950 https://doi.org/10.1159/000445394
30. Costa M, Bento A, Batista H, Oliveira F. Endometriosis-induced intussusception of the caecal appendix. BMJ Case Rep. 2014;2014 bcr2013200098. PMID: 25477360 https://doi.org/10.1136/bcr-2013-200098
31. Fetisov NI, Maskin SS, Czjan’ Ju. Isolated intussusception of the vermiform appendix in adults. Herald of Surgical Gastroenterology. 2019;1:12–14. (In Russ.).
32. Dickson-Lowe RA, Ibrahim S, Munthali L, Hasan F. Intussusception of the vermiform appendix. BMJ Case Rep. 2015;2015:bcr2014207584. PMID: 26184356 https://doi.org/10.1136/bcr-2014-207584
33. Langsam LB, Raj PK, Galang CF. Intussusception of the appendix. Dis Colon Rectum. 1984;27(6):387–392. PMID: 6734362 https://doi.org/10.1007/bf02553007
34. Gilpin D. Intussusception of the appendix. Ulster Med J. 1989;58(2):193–195. PMID: 2603275
35. Park BS, Shin DH, Kim DIl, Son GM, Kim HS. Appendiceal intussusception requiring an ileocecectomy: a case report and comment on the optimal surgery. BMC Surg. 2018;18(1):48. PMID: 30068337 https://doi.org/10.1186/s12893-018-0380-9
36. Tsukamoto R, Sakamoto K, Honjo K, Niwa K, Sugimoto K, Ishiyama S, et all. Case of idiopathic and complete appendiceal intussusception. Asian J Endosc Surg. 2018;11(3): 256–258. PMID: 29214746 https://doi.org/10.1111/ases.12442
37. Laalim SA, Toughai I, Benjelloun el B, Majdoub KH, Mazaz K. Appendiceal intussus-ception to the cecum caused by mucocele of the appendix: Laparoscopic approach. Int J Surg Case Rep. 2012;3(9):445–447. PMID: 22706297 https://doi.org/10.1016/j.ijscr.2012.04.019
38. Haug J, Katkar AS, Covelli J. Appendiceal Intussusception Mimicking Cecal Mass and Fecal Matter: A Report of Two Rare Cases. Case Rep Radiol. 2018;2018:4809650. PMID: 30112244 https://doi.org/10.1155/2018/4809650
39. Burchard PR, Thomay AA. Appendiceal intussusception in the setting of ulcerative colitis. J Surg Case Rep. 2018;2018(4):rjy044. PMID: 29644035 https://doi.org/10.1093/jscr/rjy044
40. Hammoud GM, Quick J, Samiullah S, Rao D, Ibdah JA. Endoscopic full-thickness resection of a long intussuscepted appendix by use of a colonoscope. VideoGIE. 2018;4(1):34–36. PMID: 30623159. https://doi.org/10.1016/j.vgie.2018.10.001
41. Birriel TJ, Smith E, Eyvazzadeh D. Appendiceal intussusception from endometriosis: endoscopic and laparoscopic approach. Ann R Coll Surg Engl. 2017;99(1):e1–e2. PMID: 27551900 https://doi.org/10.1308/rcsann.2016.0244
42. Leshchinskiy S, D’Agostino R. The coiled spring sign of appendiceal intussusception. Abdom Radiol (NY). 2018;43(9):2539–2541. PMID: 29453516 https://doi.org/10.1007/s00261-018-1506-3
43. Tăban S, Dema A, Lazăr D, Sporea I, Lazăr E, Cornianu M. An unusual “tumor” of the cecum: the inverted appendiceal stump. Rom J Morphol Embryol. 2006;47(2):193–196. PMID: 17106530
44. Atkinson GO, Gay BB Jr, Naffis D. Intussusception of the appendix in children. AJR Am J Roentgenol. 1976;126(6):1164–1168. PMID: 179374 https://doi.org/10.2214/ajr.126.6.1164
Review
For citations:
Maskin S.S., Fetisov N.I., Matyukhin V.V., Yuan C. Appendiceal Intussusception. Russian Sklifosovsky Journal "Emergency Medical Care". 2021;10(1):135-140. https://doi.org/10.23934/2223-9022-2021-10-1-135-140