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Appendiceal intussusception caused by endometriosis
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Journal Article
Appendiceal intussusception caused by endometriosis
2012
Overview
Young adults presenting with lower abdominal pain are commonly diagnosed with inflammatory conditions arising from appendix, bowel, urinary tract, or female genital tract. Appendiceal intussusception is rarely considered as the primary diagnosis.2 The presentation of intussusception ranges from acute or chronic abdominal pain and rectal bleeding to an incidental radiological or intraoperative finding.2,3 Pain due to uncomplicated endometriosis-induced appendiceal intussusceptions might be cyclical but can also mimic acute appendicitis, caecal polyp, and malignancy.1,4 The inability to diagnose the condition preoperatively has resulted in overzealous surgical resection for suspected malignancy.4 The misdiagnosis of appendiceal intussusception for caecal polyps has also led to caecal perforation because of misguided attempts at endoscopic resection.5 Efforts should be made to reach a diagnosis preoperatively.
Publisher
Elsevier Ltd,Elsevier,Elsevier Limited
Subject
