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  • Title: Intussusception of a mucocele of the appendix secondary to an obstruction by endometriosis: report of a case.
    Author: Kimura H, Konishi K, Yabushita K, Maeda K, Tsuji M, Miwa A.
    Journal: Surg Today; 1999; 29(7):629-32. PubMed ID: 10452241.
    Abstract:
    We treated a patient with a complete invagination of the cecum which contained a mucocele of the appendix secondary to an obstruction by endometriosis. Preoperatively, a barium enema showed a crab's claw-like area without filling in the oral side of the transverse colon. An emergency laparotomy was performed and revealed a mucocele of the appendix to have induced appendicecal invagination; however, no colonic invagination was observed. An appendicecal resection was thus done. Pathologically, the resected specimen was a mucosal hyperplasia with mucin-secreting lesions of the appendix. The theories regarding the pathogenesis of appendicecal mucocele are reviewed and discussed.
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