Cecal-Colon Intussusception due to Appendiceal Mucinous Adenocarcinoma.


Journal

The American surgeon
ISSN: 1555-9823
Titre abrégé: Am Surg
Pays: United States
ID NLM: 0370522

Informations de publication

Date de publication:
Sep 2023
Historique:
medline: 16 11 2023
pubmed: 24 5 2023
entrez: 24 5 2023
Statut: ppublish

Résumé

Intussusception is a rare presentation in adults and describes when one portion of the intestine telescopes into another portion. Intussusception is associated with malignancies serving as the lead point in adults. Appendiceal mucinous neoplasms are uncommon tumors often incidentally discovered during appendectomy procedures to manage acute appendicitis. Here we present a case report of an instance of mucinous adenocarcinoma of the appendix that manifested as a large bowel obstruction with intussusception limited to the colon, underscoring the possibility of concurrent intussusception and mucinous neoplasms. The case highlights the importance of meticulous diagnostic evaluation and management, particularly without well-defined treatment protocols. Appropriate diagnostic workup and management, including surgical intervention, are critical for patient outcomes and overall prognosis. The study recommends that patients diagnosed with confirmed or suspected appendiceal neoplasms undergo upfront oncologic resection where aggressive malignancy is a concern. Colonoscopy should be performed postoperatively for all patients to identify synchronous lesions.

Identifiants

pubmed: 37222408
doi: 10.1177/00031348231175489
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

3822-3825

Déclaration de conflit d'intérêts

Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Auteurs

Ace St John (A)

Department of Surgery, University of Maryland Medical Center, Baltimore, MD, USA.

Rhaya Murray (R)

Department of Pathology, University of Maryland Medical Center, Baltimore, MD, USA.

Laura Cooper (L)

Department of Surgery, University of Maryland Medical Center, Baltimore, MD, USA.

Jose Diaz (J)

Department of Surgery, University of Maryland Medical Center, Baltimore, MD, USA.
Department of Trauma and Critical Care, R Adams Cowley Shock Trauma Center, Baltimore, MD, USA.

Mira Ghneim (M)

Department of Surgery, University of Maryland Medical Center, Baltimore, MD, USA.
Department of Trauma and Critical Care, R Adams Cowley Shock Trauma Center, Baltimore, MD, USA.

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Classifications MeSH