GASTROENTEROLOGICAL ENDOSCOPY
Online ISSN : 1884-5738
Print ISSN : 0387-1207
ISSN-L : 0387-1207
A CASE OF APPENDICEAL ADENOMA INVAGINATED INTO THE CECUM COMPLICATED WITH A CECOCOLIC INTUSSUSCEPTION TO THE RIGHT TRANSVERSE COLON
Michiko MATSUKIAtuhumi TOMOHIROTakahumi USIYAMAKen ISHIMURAHideyuki INOUEFumihiko KINEKAWASigeki KURIYAMA
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2004 Volume 46 Issue 12 Pages 2567-2574

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Abstract
A 70-year-old female developed appetite loss. CT scan, ultrasonograpy and gastrographin enema study showed an intussusception of the ileocecal portin to right transverse colon. Colonoscopy revealed the protruding lesion in the hepatic flexure of the colon, which occupied the lumen. Pathological examination of biopsy specimens revealed villous adenoma. Ileocecal resection was performed, when the intussusception dissappeared and a protruding lesion about 3.5 cm long was found in the cecum. The center of the protruding lesion was open, continuing to the appendiceal tip. Histological examination of the surgical specimen revealed the appen-diceal intussusception and the proximal two-thirds of the appendix was covered with tubulovil-lous adenoma. Intussuscepted appendix could be one of the causes of cecocolic intussusception.
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© Japan Gastroenterological Endoscopy Society
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