MUCOCELE OF THE APPENDIX AS AN ACCIDENTAL FINDING IN INTESTINAL OBSTRUCTION WITH INTESTINAL INTUSSUSCEPTION. CASE REPORT
https://doi.org/10.17238/issn2072-3180.2020.4.75-81
Abstract
Mucocele of the appendix is a rare pathology without pathognomonic symptoms, which is more common as an incidental finding. The frequency of occurrence, according to the world literature, does not exceed 0.2–0.3 %, and in women the frequency of occurrence is 7 times more frequent. Many authors regard this type of pathology as a precancerous disease. Intussusception is a type of intestinal obstruction in which one part of the intestine is introduced into the lumen of another, causing obstruction. The frequency of occurrence of intussusception of the large intestine in adults, according to the literature, is no more than 5 %. This clinical example demonstrates a case of detection of intussusception of the large intestine, which caused acute intestinal obstruction in combination with mucocele of the appendix. A 45-year-old female patient was admitted to a hospital with suspected intestinal bleeding, an additional examination revealed intestinal obstruction, the patient was operated on, during surgery, a mucocele of the vermiform appendix was found in combination with invagination intestinal obstruction caused by a tumor of the colon. The course of the postoperative period was smooth, the wounds healed by primary intention. After the performed surgical treatment and receiving a histological report, the patient was discharged under the supervision of an oncologist on an outpatient basis.
About the Authors
D. V. Nikolaev
Evdokimov Moscow state medical University; Bakhrushin brothers state hospital of the Moscow city health Department
Russian Federation
Russian Federation
Nikolaev Dmitry Vladimirovich — assistant of Department of Hospital surgery Moscow state medical University named after A. I. Evdokimov; Doctor-surgeon of the surgical Department of the Bakhrushin brothers state hospital of the Moscow city health Department
20/1 Delegatskaya str., Moscow, 127473
7 Stromynka street, Moscow, 107014
V. S. Fomin
Evdokimov Moscow state medical University; Veresaev state hospital of the Moscow city health Department
Russian Federation
Russian Federation
Fomin Vladimir Sergeevich — associate Professor, surgeon Department of surgical diseases and clinical angiology of the faculty of dentistry doctor of MSMSU them. A. I. Evdokimov; GSC. them. V.V. Veresaeva health Department of the city of Moscow
127473, Moscow, Delegatskaya str 20/1
127411, lobnenskaya str. 10, Moscow
D. G. Tsopurashvil
Bakhrushin brothers state hospital of the Moscow city health Department
Russian Federation
Russian Federation
Tsopurashvili David Guramovich — Doctor-surgeon of the surgical Department
7 Stromynka street, Moscow, 107014
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Review
For citations:
Nikolaev D.V., Fomin V.S., Tsopurashvil D.G. MUCOCELE OF THE APPENDIX AS AN ACCIDENTAL FINDING IN INTESTINAL OBSTRUCTION WITH INTESTINAL INTUSSUSCEPTION. CASE REPORT. Moscow Surgical Journal. 2020;(4):75-81. (In Russ.) https://doi.org/10.17238/issn2072-3180.2020.4.75-81
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