The Korean Journal of Internal Medicine

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Original Article
Korean J Med. 2008;75(4):449-452.
증례: 충수 돌기의 점액낭종으로 야기된 충수 돌기형 장중첩증 1예
김희선.장명국.문한국.장지선.김형수.조성진.김학양, , , , , ,
A case of intussusception by appendiceal mucocele
Hee Seon Kim, Myoung Kuk Jang, Han Kook Moon, Ji Sun Jang, Hyung Soo Kim, Seong Jin Cho, Hak Yang Kim
경희대학교 의과대학 순환기내과학교실


Abstract
Intussusception of the appendix is not only extremely rare but also presents with symptoms similar to appendicitis. Therefore, preoperative diagnosis is unusual. On the other hand, appendiceal mucocele refers to obstructive dilatation of the appendiceal lumen caused by mucus. It has been reported in 0.2~0.3% of appendectomy specimens. A 22-year-old woman visited the Emergency Department because of right lower abdominal tenderness with hematochezia. Abdominal CT scan revealed a target sign in the right lower quadrant area that was suggestive of intussusception. The patient underwent emergency surgical reduction of the intussusception and appendectomy. The pathology showed an appendiceal mucocele. (Korean J Med 75:449-452, 2008)

Keywords :Appendiceal intussusception, appendiceal mucocele
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