Submucosal tumor‐like appendiceal intussusception as a result of fecalith

Yoshiyuki, Meguro; Koide, Ayaki; Tabuchi, Takafumi

doi:10.1111/den.12297

Cited by 6 publications

(7 citation statements)

References 3 publications

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“…Intussusceptions in adults are thought to involve the small bowel the majority of the time and where involving the large bowel alone are much more likely to represent a malignant process with estimates ranging from 50% to 100% in some series [2][3][4]. Fecalith within the appendix or ileocecal valve causing intussusception have been described in the literature [5,[7][8][9], and Adewale et al [10] described a case of an intraluminal colonic fecalith causing intussusception in a cystic fibrosis patient. Our case differs significantly from this case due to the absence of predisposing factors for inspissated or impacted stool and the location of the fecalith.…”

Section: Discussionmentioning

confidence: 99%

A case report of impacted fecalith within mucosal pouch: an unusual cause of colocolic intussusception

Greer¹,

Fernandez²

2024

Ann Coloproctol

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Intussusception involving the colon is unusual in adults and when present is managed with resection due to the risk of malignancy. We present an unusual case where the intussusceptum was impacted stool in a mucosal pouch in the transverse colon. The patient presented with bleeding per rectum and abdominal pain and was found to have a colocolic intussusception on computed tomography. Colonoscopy showed an ulcerated mass in the transverse colon. A laparoscopic right hemicolectomy was performed. Histopathology demonstrated known chronic lymphocytic leukemia, but not solid malignancy. A large fecalith impacted within a mucosal pouch had acted as the lead point. This represents a highly unusual but benign cause of intussusception.

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Section: Discussionmentioning

confidence: 99%

A case report of impacted fecalith within mucosal pouch: an unusual cause of colocolic intussusception

Greer¹,

Fernandez²

2024

Ann Coloproctol

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“…In addition, Kangaspunta et al demonstrated that preoperative abdominal CT was poor in detecting tumors in patients with acute appendicitis [20]. Since 1981, several studies have described submucosal fecalith(s) mimicking submucosal tumors, as shown in Table 1 [8][9][10][11][12][13][14][15][16][17][18]. Some characteristics of the 12 patients with submucosal fecalith included in our brief literature review included a mean age of 47 years (range, 6-74 years), a female-to-male prevalence ratio of 1:2, and the fecalith was located around the cecum.…”

Section: Discussionmentioning

confidence: 99%

“…Interestingly, sometimes intraluminal fecaliths show an extremely rare form. Only a few case reports [8][9][10][11][12][13][14][15][16][17][18] have described fecaliths mimicking submucosal tumor(s). The present report describes a case of appendicitis with submucosal fecalith mimicking a submucosal tumor.…”

Section: Introductionmentioning

confidence: 99%

Appendicitis with submucosal fecalith mimicking a submucosal tumor: a case report

et al. 2021

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Background Submucosal fecalith(s) mimicking submucosal tumors of the gastrointestinal lumen are rare. Moreover, accurate preoperative diagnosis of these entities is exceedingly difficult, and the mechanism(s) of their formation remains unclear. Case presentation A 40-year-old woman visited the authors’ hospital due to lower abdominal pain and diarrhea. She had previously been treated for endometriosis. Laboratory investigation revealed increased C-reactive protein levels. Abdominal contrast-enhanced computed tomography revealed thickening of the appendix wall and dilation of the small intestine. The patient was diagnosed with paralytic ileus caused by appendicitis, and interval appendectomy was scheduled. She underwent laparoscopic-assisted appendectomy after conservative treatment. Partial cecal resection was selected due to the presence of an elastic mass in the cecum. The final pathological diagnosis was submucosal fecalith, not submucosal tumor. On day 5, the patient was discharged without any postoperative complications. Conclusions In cases of appendicitis with fecalith(s) that appear as submucosal tumor(s) on colonoscopy, submucosal fecalith mimicking submucosal tumor should be considered in the differential diagnosis.

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“…În concluzie, datele generale obținute în urma examenului clinic la un pacient cu durere a cadranului inferior drept, ar trebui să avertizeze medicul clinician pentru a include IA în diagnosticul diferențial [26,60]. Deseori IA poate fi confundat cu o formațiune tumorală cum ar fi o neoplasm de apendice vermiform (mucocel) [21,54,57], tumoare submucoasă (leiomiom sau GIST [21,26,38,48,54,57,84]), leziune polipoasă a cecului [9,21,26,60,84,92], diverticul Meckel inversat [97], bontul de apendice inversat [90], apendicită acută [26,84] sau abces apendicular [90], apendicolită [57], invaginație intestinală [31] sau boală inflamatorie al intestinului [54].…”

Section: Aspect Diagnosticunclassified

“…Rezecția parțială a cecului pe cale deschisă sau cea laparoscopică cu apendicectomie și păstrarea anatomiei valvei ileocecale [27,38,42,47,49,52,55,57,61,94] reprezintă o abordare adecvată la pacienții care nu sunt suspectați de proces neoplazic și al cărui apendice nu poate fi redus. Park BS et al [57] subliniază că cecul ar trebui rezecat adiacent valvei ileocecale și este absolut necesar să verificat unghiul dintre linia de rezecție și valva ileocecală sau de a indica verificarea valvei ileocecale prin colonoscopie în timpul intervenției chirurgicale pentru a confirma permeabilitatea și funcționalitatea acesteia.…”

Section: Managementulunclassified

Appendiceal intussusception

Gheorghe

Malcova

Șor

et al. 2021

Surgery

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Appendiceal intussusception (AI) is an unusual and rarely reported clinical entity. It was first described by McKidd in a 7-year-old boy in 1858. Since then the literature on it has been confined to a few case reports and very small cases series, in totally about 300 cases being published. Because of variations of clinical symptoms and lack of pathognomonic sign, rarety of the pathology and diversity of causing factors, accurately detection of the presence or absence of appendiceal pathology is difficult. However, imagistic and endoscopic methods may be useful in AI detection and play a large and important role in differential diagnosis. Treatment of AI differs significantly depending on underlying pathological condition, benign or malignant.

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Submucosal tumor‐like appendiceal intussusception as a result of fecalith

Cited by 6 publications

References 3 publications

A case report of impacted fecalith within mucosal pouch: an unusual cause of colocolic intussusception

A case report of impacted fecalith within mucosal pouch: an unusual cause of colocolic intussusception

Appendicitis with submucosal fecalith mimicking a submucosal tumor: a case report

Appendiceal intussusception

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