Insidious presentation of intussusception with appendicitis

Abstract

Intussusception in relation to appendicitis is an uncommon occurrence and is rarely described in the literature. We describe a case of diagnostic uncertainty and finding of ileocolic intussusception associated with appendicitis in a 22-year-old male. The patient presented with a history of acute right-sided abdominal pain. He underwent a computed tomography scan showing ileocolic intussusception following an operation with the finding of an inflamed appendix, which was likely to have served as a mechanical lead point of the intussusception. Due to the presence of ischaemia of the right colon, he underwent a right hemicolectomy.

Intussusception of the cecum due to the acute appendicitis: A case report

“…While intussusception of the appendix itself caused by appendicitis has been reported [16] , a search of the PubMed database using the keywords “intussusception” and “appendicitis” and “ileocolic” or “cecocolic” revealed only seven reports of cecocolic intussusception caused by appendicitis as a secondary disease from April 1955 to April 2022 (excluding conference proceedings and our case) [5] , [6] , [7] , [8] , [9] , [10] , [11] . Table 1 shows the eight reported cases of cecocolic intussusception caused by appendicitis, including the present case.…”

“…On the other hand, intussusception in adults is rare, accounting for only 5 % of all cases of intussusception in all ages; in most cases tumors are reported to be the leading point [3] , [4] . Therefore, intussusception caused by inflammatory disease is a rare condition with only a very small number of cases reported in the relevant literature [5] , [6] , [7] , [8] , [9] , [10] , [11] .…”