Adult intussusception secondary to an appendiceal tumour in a patient with ulcerative colitis: a case report.
Surg Case Rep
; 6(1): 234, 2020 Sep 29.
Article
em En
| MEDLINE
| ID: mdl-32990818
ABSTRACT
BACKGROUND:
Intussusception in adult patients is uncommon and appendiceal lead points are particularly rare. CASE PRESENTATION We present the case of a 42-year-old male with a history of ulcerative colitis, presenting with sudden onset abdominal pain and bloody diarrhoea. Endoscopy revealed grossly normal mucosa in the descending colon with a congested polypoid mass in the proximal transverse colon. Computed tomography revealed ileocecal intussusception at the hepatic flexure. A right hemicolectomy was performed, where a grossly dilated appendix was noted, resected and sent for histopathological evaluation. Results revealed low-grade appendiceal mucinous neoplasm. Post-operatively, the patient remained symptom free, however required reintroduction of biologic therapy due to relapse of his ulcerative colitis 12 weeks later.CONCLUSION:
This case depicts a rare acute surgical presentation and reminds physicians and surgeons of the importance of 'thinking outside the box' in clinical practice.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article