A Case of Recurrent Intussusception Caused by Appendiceal Intussusception, for Which Echo Examination and Radiographic Contrast Enema Proved Useful for Diagnosis

Abstract

The patient was a girl aged two years and five months, who had been diagnosed as having intussusception. We performed hydrostatic reduction five times within three days. We suspected that the patient had a primary disease in the cecum, as a remnant shadow was detected even after repeated reduction. First, we performed colonoscopy and found a mucosal protrusion in the cecum. We then performed laparoscopic-assisted appendectomy through the umbilical port insertion site. In this patient, appendiceal intussusception caused recurrent intussusception. Retrospectively consideration, an echo examination, radiographic contrast enema, and colonoscopy were useful for diagnosing appendiceal intussusception. When appendiceal intussusception is suspected, a laparoscopic-assisted operation should be performed as soon as possible to prevent the onset of recurrent intussusception.