Introduction: The intussusception is a rare cause of intestinal occlusion in adults (1-5%). Usually, they are secondary to an underlying pathology, generally identified intraoperatively. Mucinous appendiceal neoplasm occurs in less than 1% of appendicectomies. This work aims to present an unusual case and our therapeutic approach.
Presentation of Case: A 54-year-old female patient came to the
emergency department with abdominal pain. Complementary diagnostic exams showed
an image of ileocolic invagination due to an appendicular mass, confirmed
intraoperatively. A right hemicolectomy
was performed for oncological purposes. The anatomopathological study revealed
a low-grade appendicular mucinous neoplasm.
Discussion and Conclusion:
The treatment of ileocolic invagination is surgical, due to the high
incidence of a malignant etiology. In this particular case, there was already a
preoperative suspicion of an appendicular neoplasm, which justified proposing a
right hemicolectomy. There is no consensus on the post-operative monitoring of
Low-Grade Appendiceal Mucinous Neoplasm (LAMN). After 5 years, the patient was
asymptomatic, with no signs of recurrence.
Author
(s) Details
Maria
João Vale
Surgery Department, Hospital Sousa Martins, Unidade Local de Saúde
da Guarda, Portugal.
Pedro
Caldes
Surgery Department, Hospital Sousa Martins, Unidade Local de Saúde
da Guarda, Portugal.
Sónia
Bispo
Surgery Department, Hospital Sousa Martins, Unidade Local de Saúde
da Guarda, Portugal.
Augusto
Lourenço
Surgery Department, Hospital Sousa Martins, Unidade Local de Saúde
da Guarda, Portugal.
Please see the book here:- https://doi.org/10.9734/bpi/mmrnp/v4/1956
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