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KMID : 0371320030640040348
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Journal of the Korean Surgical Society
2003 Volume.64 No. 4 p.348 ~ p.352
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Appendiceal Intussusception Caused by Mucinous Cystadenocarcinoma
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Bae Jung-Min
Jun Kyu-Ha
Kim Nak-Hee
Bae Jong-Dae
Jung Byeong-Wuk
Jung Ki-Hoon
Bae Sung-Han
Ahn Woo-Sup
Choi Suk-Jin
Kim Jung-Ran
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Abstract
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An intussusception was first reported by Barbette in 1674, but an intussusception of the appendix was first reported in London, in 1858. Of all intussusceptions, 5% occur in adults, and of these 90% are as a result of a primary cause. Therefore, treatment is usually based on the primary cause. An intussusception of the appendix can be treated by barium or air reduction, or by an appendectomy, with manual reduction in pediatrics, but these are very uncommon in adult, and can be treated by various methods, according to the underlying cause. A 74 years old woman was preoperatively diagnosed, by radiological examination, to have an intussusception of the appendix. An exploratory laparotomy was performed, and the lesion confirmed as an intussusception caused by an appendix mass, which was cystic and filled with mucin. Therefore, a right hemicolectomy was performed, with the pathological results confirming a mucinous cystadenocarcinoma of the appendix. Here, we report a case of an adult intussusception of the appendix in a 74 years old woman.
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KEYWORD
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Appendiceal intussusception, Mucinous cyst adenocarcinoma
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