Appendiceal intussusception caused by endometriosis. A clinical case
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Fecha
2022
Autores
Profesor/a Guía
Facultad/escuela
Idioma
en
Título de la revista
ISSN de la revista
Título del volumen
Editor
Sociedad de Cirujanos de Chile
Nombre de Curso
Licencia CC
Attribution-ShareAlike 4.0 International (CC BY-SA 4.0)
Licencia CC
https://www.revistacirugia.cl/index.php/revistacirugia/about/editorialPolicies#openAccessPolicy
Resumen
Objective: To report the case of a patient with appendicular intussusception (AI), an infrequent condition secondary to a focus of endometriosis, a pathology that has increased incidence in recent years. Material and Method: Clinical case, history and images obtained from the clinical file and intraoperative records with the consent of the patient. Results: A 35-year-old woman with abdominal pain. Colonoscopy study showing a 15 x 8 mm lesion in the appendicular ostium intussuscepted to the cecal lumen, and a com-puterized tomography (CT) enteroclysis confirming AI. A laparoscopic ileocecal resection is performed, demonstrating invagination of the appendix secondary to an endometrioma focus. Discussion: AI is a rare condition, with an incidence close to 0.01% in the general population. Benign pathologies are the main cause (77%), endometriosis being the most frequent cause. Conclusion: AI due to endometriosis is anecdotal, with unspecific symptoms. The available studies can adequately guide the presence of AI, however, on some occasions it can be confused with neoplastic pathologies, where surgery is important to elucidate the etiology.
Notas
Indexación: Scopus.
Palabras clave
appendiceal surgery, appendicular invagi-nation, endometriosis, endometrioma, intussusception
Citación
Revista de Cirugia, Volume 74, Issue 4, Pages 421 - 425, 2022
DOI
10.35687/s2452-454920220041535