APPENDICEAL INTUSSUSCEPTION AS A MANIFESTATION OF MUCINOUS CYSTADENOMA OF THE APPENDIX - AN INTERESTING CLINICAL ENTITY

In children, intussusception is a common cause of intestinal obstructi on. In contrast, intussusception in the adult is an infrequent cause o f intestinal obstruction and in the majority of instances has some obv ious cause such as a tumor forming the lead point of the intussusceptu m. Diagnosis is suggested by chronic, intermittent symptoms of intesti nal obstruction, the presence of an abdominal mass, and the passage of blood per rectum. In contrast to children, treatment is invariably su rgical resection without reduction. We have encountered an appendiceal intussusception as a manifestation of a mucinous cystadenoma of the a ppendix. There was no evidence of pelvic visceral involvement. This un ique presentation is rarely reported. The patient underwent uneventful laparoscopy-assisted segmental ileocolonic resection with stapled ana stomosis. An analysis of our diagnostic and therapeutic approach, as w ell as a review of appendiceal pathology as a cause of intussusception are presented to better understand this rare clinical entity.