• J Emerg Med · Nov 2016

    Case Reports

    Appendix Invagination Mimicking Ileocecal Intussusception in a Pediatric Patient: A Case Report.

    • Muhsin Nuh Aybay, Seyit Erol, Hasan Emin Kaya, and Ibrahim Guler.
    • Department of Radiology, Konya Education and Research Hospital, Konya, Turkey.
    • J Emerg Med. 2016 Nov 1; 51 (5): 589-591.

    BackgroundAppendix invagination is a rare cause of right lower quadrant abdominal pain. Clinical findings are not specific and can mimic a wide range of diseases.Case ReportAn 8-year-old girl was admitted with abdominal pain lasting for 2 weeks. Clinical and radiologic findings suggested ileocecal intussusception initially. A failed hydrostatic reduction attempt and subsequent abdominal ultrasound and computed tomography studies showed that the underlying pathology was invagination of the vermiform appendix. The patient was managed conservatively and spontaneous reduction was observed during follow-up. She underwent appendectomy 9 months later due to chronic appendicitis. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Appendix invagination should be kept in mind while evaluating patients with suspected ileocecal intussusception. In distinguishing between these two conditions, a blind-ending invaginating segment is an important clue in favor of appendix intussusception.Copyright © 2016 Elsevier Inc. All rights reserved.

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