Inverted appendix mistaken for a polyp during colonoscopy and leading to intussusception

Ram, Ashok Daya; Peckham, Clare; Akobeng, Anthony K; Thomas, Adrian G; David, T J; Patel, Leena

doi:10.1016/j.jcf.2005.03.002

Cited by 16 publications

(10 citation statements)

References 4 publications

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“…This phenomenon has been described with Meckel diverticula (16) and appendiceal intussusception (17). However, references on inverted bowel diverticula in the endoscopic literature are limited.…”

Section: Discussionmentioning

confidence: 96%

A strange duodenal lesion

Peixoto¹,

Amaro²,

Sadio³

et al. 2010

Rev. esp. enferm. dig.

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Section: Discussionmentioning

confidence: 96%

A strange duodenal lesion

Peixoto¹,

Amaro²,

Sadio³

et al. 2010

Rev. esp. enferm. dig.

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“…Multiple cases have been reported with colonoscopy and CT virtual colonograph. [18][19][20] At colonoscopy, an inverted stump may have the appearance of a smooth sessile polyp with an absent appendix orifice. 21 Pathological findings in the caecum need colonoscopy and biopsy to obtain a definitive diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Simple ligation versus stump inversion in open appendicectomy: a systematic review and meta-analysis

2018

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To perform a systematic review and meta-analysis on post-operative complications after surgery for appendicitis comparing simple ligation with inversion of the appendix stump. PubMed, Medline and Embase databases were searched to identify studies comparing post-operative outcomes in appendicectomy following simple ligation and inversion of the appendix stump. A meta-analysis with a random-effects model was used to calculate pooled odds ratios (OR) and confidence intervals (CI) for each outcome measure of interest. A total of 14 studies were included for meta-analysis, comprising a total of 4037 patients who underwent appendicectomy. There was an increased risk of small bowel obstruction following appendix stump inversion (OR = 4.18, CI = 1.31 – 13.41; p = 0.02; 9 studies). After excluding studies without antibiotic prophylaxis there was no difference between inversion or ligation of the appendix stump with respect to either total infective complications (OR = 1.03; 95% CI= 0.75 – 1.43, 10 studies) or surgical site infection (OR = 1.07; CI = 0.78 – 1.47; 10 studies). Inversion of the appendix stump during appendicectomy may increase risk post-operative small bowel obstruction whilst offering no reduction in post-operative infective complications.

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“…Intussusception of the appendix was first described in 1858 [2]. It affects all ages but is usually associated with males in the first decade [3]. Several factors and conditions can contribute to the pathogenesis of appendicular intussusception.…”

Section: Discussionmentioning

confidence: 99%

Appendicular Intussusception

Sameer¹,

Kharakwal²

2015

JCR

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Abstract:Intussusception of the appendix is an uncommon condition and may present as an acute abdomen. We present a case of 6 year old male child who presented with pain abdomen for 10 days duration. Radiological diagnosis was made of an ileocolic intussusception, which per-operatively turned out to be an appendicular intussusception. Patient was managed with right hemicolectomy and ileotransverse anastomosis.

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Inverted appendix mistaken for a polyp during colonoscopy and leading to intussusception

Cited by 16 publications

References 4 publications

A strange duodenal lesion

A strange duodenal lesion

Simple ligation versus stump inversion in open appendicectomy: a systematic review and meta-analysis

Appendicular Intussusception

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