Appendiceal intussusception complicated by adenocarcinoma of the cecum:A case report  

作　　者：Yu Long Yi-Ning Xiang Fei Huang Lei Xu Xiao-Yun Li Yun-Huan Zhen 

机构地区：[1]Department of Colorectal Surgery,The Affiliated Hospital of Guizhou Medical University,Guiyang 550001,Guzihou Province,China [2]Department of Colorectal Surgery,Guizhou Medical University,Guiyang 550001,Guizhou Province,China [3]Department of Pathology,The Affiliated Hospital of Guizhou Medical University,Guiyang 550001,Guizhou Province,China

出　　处：《World Journal of Clinical Cases》2024年第8期1461-1466,共6页世界临床病例杂志

基　　金：the National Natural Science Foundation of China,No.82060440.

摘　　要：BACKGROUND Appendiceal intussusception is a pathological condition in which the appendix is inverted into the cecum,which may cause symptoms that resemble those of other gastrointestinal disorders and may induce intestinal obstruction.The rarity of this case presentation is the co-occurrence of appendiceal intussusception and cecal adenocarcinoma,a combination that to our knowledge has not previously been reported in the medical literature.This case provides new insights into the complexities of diagnosing and managing overlapping pathologies.CASE SUMMARY A 25-year-old woman presented with persistent periumbilical pain and bloody stools.An initial biopsy showed cecal cancer;however,subsequent colonoscopy and computed tomography findings raised the suspicion of appendiceal intussus-ception,which was later confirmed postoperatively.This unique case was charac-terized by a combination of intussusception and adenocarcinoma of the cecum.The intervention included a laparoscopic right hemicolectomy,which led to the histopathological diagnosis of mucinous adenocarcinoma with appendiceal intussusception.The patient recovered well postoperatively and was advised to initiate adjuvant chemotherapy.This case highlights not only the importance of considering appendiceal intussusception in the differential diagnosis,but also the possibility of appendicitis and the atypical presentation of neoplastic lesions.CONCLUSIONS Physicians should consider the possibility of appendiceal intussusception in cases of atypical appendicitis,particularly when associated with neoplastic presentation.

关 键 词：Appendiceal intussusception APPENDICITIS Cecal cancer Target signs MISDIAGNOSIS Case report 

分 类 号：R574[医药卫生—消化系统]