Abstract
We describe an extremely rare case of an ileocolic intussusception with an appendiceal mucocele as the lead-point and cause of acute right lower quadrant pain in an adult patient. There are only few reported cases of this entity in the radiologic literature. We describe the multislice (computed tomography) CT features and emphasize the value of multiplanar reformations. We also discuss how specific findings on CT should allow for a correct preoperative diagnosis.
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Coulier B, Pestieau S, Hamels J et al (2002) US and CT diagnosis of complete cecocolic intussusception caused by an appendiceal mucocele. Eur Radiol 12:324–328
Pickhardt PJ, Levy AD, Rohrmann CA Jr et al (2003) Primary neoplasms of the appendix: radiologic spectrum of disease with pathologic correlation. Radiographics 23:645–662
Higa E, Rosai J, Pizzimbono CA et al (1973) Mucosal hyperplasia, mucinous cystadenoma, and mucinous cystadenocarcinoma of the appendix. A re-evaluation of appendiceal “mucocele”. Cancer 32:1525–1541
Zissin R, Gayer G, Kots E et al (1999) Imaging of mucocele of the appendix with emphasis on the CT findings: a report of 10 cases. Clin Radiol 54:826–832
Lim HK, Lee WJ, Kim SH et al (1999) Primary mucinous cystadenocarcinoma of the appendix: CT findings. AJR Am J Roentgenol 173:1071–1074
Shah RK, Shaw SA, Marroquin S et al (2003) Adult intussusception as a cause of abdominal symptoms: a case report and review of literature. Emerg Radiol 10:53–56
Heithold DL, Tucker JG, Lucas GW (1997) Appendiceal intussusception as a manifestation of mucinous cystadenoma of the appendix: an interesting clinical entity. Am Surgeon 63:390–391
Cois A, Pisanu A, Pilloni L et al (2006) Intussusception of the appendix by mucinous cystadenoma. Report of a case with unusual clinical presentation. Chir Ital 58:101–104
Takehara Y, Takahashi M, Isoda H (1989) Adult intussusception with an appendiceal mucocele diagnosed by CT and ultrasonography. Radiat Med 7:139–142
Tsunoda T, Eto T, Maeda H et al (1992) Intussusception of an appendiceal mucocele: report of a case. Surg Today 22:470–473
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This case report has not been presented previously at any Radiology meeting.
No grants were received for this case report.
The authors disclose no potential conflict of interest.
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Siddiqi, A.J., Arafat, O., Nikolaidis, P. et al. MDCT diagnosis of ileocolic intussusception secondary to an appendiceal mucocele: value of multiplanar reformation. Emerg Radiol 13, 273–275 (2007). https://doi.org/10.1007/s10140-006-0555-z
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DOI: https://doi.org/10.1007/s10140-006-0555-z