Department of Surgery, University of Maryland Medical Center, Baltimore, MD, USA.
Department of Pathology, University of Maryland Medical Center, Baltimore, MD, USA.
Am Surg. 2023 Sep;89(9):3822-3825. doi: 10.1177/00031348231175489. Epub 2023 May 24.
Intussusception is a rare presentation in adults and describes when one portion of the intestine telescopes into another portion. Intussusception is associated with malignancies serving as the lead point in adults. Appendiceal mucinous neoplasms are uncommon tumors often incidentally discovered during appendectomy procedures to manage acute appendicitis. Here we present a case report of an instance of mucinous adenocarcinoma of the appendix that manifested as a large bowel obstruction with intussusception limited to the colon, underscoring the possibility of concurrent intussusception and mucinous neoplasms. The case highlights the importance of meticulous diagnostic evaluation and management, particularly without well-defined treatment protocols. Appropriate diagnostic workup and management, including surgical intervention, are critical for patient outcomes and overall prognosis. The study recommends that patients diagnosed with confirmed or suspected appendiceal neoplasms undergo upfront oncologic resection where aggressive malignancy is a concern. Colonoscopy should be performed postoperatively for all patients to identify synchronous lesions.
肠套叠是一种罕见的成人疾病,描述的是一段肠管套入到另一段肠管内。肠套叠与作为成人的主要病因的恶性肿瘤有关。阑尾黏液性肿瘤是一种罕见的肿瘤,通常在阑尾切除术过程中偶然发现,用于治疗急性阑尾炎。在这里,我们报告了一个阑尾黏液性腺癌的病例,该病例表现为大肠梗阻和肠套叠仅限于结肠,强调了同时发生肠套叠和黏液性肿瘤的可能性。该病例强调了细致的诊断评估和管理的重要性,特别是在没有明确治疗方案的情况下。适当的诊断检查和管理,包括手术干预,对患者的结局和整体预后至关重要。该研究建议,对于确诊或疑似阑尾肿瘤的患者,如果存在恶性肿瘤的强烈风险,应进行术前肿瘤切除。对于所有患者,应在术后进行结肠镜检查,以确定是否存在同步病变。