The Japanese Journal of Gastroenterological Surgery
Online ISSN : 1348-9372
Print ISSN : 0386-9768
ISSN-L : 0386-9768
CASE REPORT
A Case of Adult Intussusception Caused by Invaginated Appendicular Stump after Laparoscopic Appendectomy
Takeshi MiyamotoToru FukunagaMasayuki KimuraYuji SugamotoMari KuboshimaShunsuke ImanishiHisahiro Matsubara
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2011 Volume 44 Issue 11 Pages 1441-1447

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Abstract
A 29-year-old man underwent interval laparoscopic appendectomy. The stump of the appendix was invaginated by purse string suture. He was discharged on the 1st postoperative day; however, on the 4th postoperative day, he returned with a stomachache. Abdominal CT scan revealed that the reason of his abdominal pain was intussusception of the right side colon. An enema with gastrographine was given and we achieved reposition. This image showed an edema shaped like a tumor around the stump of the appendix. This pseudotumor produced an intussusception. Burying the stump of the appendix is the common procedure for appendectomy. However, the therapy strategy for acute appendicitis at present varies. The operative method as well as planning of therapy has many variations. This raises the question of the most appropriate strategy for dealing with the stump of the appendix.
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この記事はクリエイティブ・コモンズ [表示 - 非営利 4.0 国際]ライセンスの下に提供されています。
https://creativecommons.org/licenses/by-nc/4.0/deed.ja
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