| Intussusception of the appendix mimicking appendicitis during pregnancy: a case report. | |
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MedLine Citation:
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PMID: 19517701 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Intussusception occurs when a segment of bowel and its associated mesentery telescopes into the lumen of the adjacent distal bowel. Appendiceal intussusception is a rare form of ileocoloc intussusception, is rarely diagnosed preoperatively, can mimic appendicitis and has not been previously reported during pregnancy. CASE: A 31-year-old gravid woman at 27 1/7 weeks' gestation presented with symptoms suggestive of acute appendicitis and was found at laparoscopy to have complete appendiceal intussusception. CONCLUSION: The list of causes of abdominal pain in pregnancy is very long, but the presence of right-sided abdominal tenderness with guarding and rebound are highly suggestive of acute appendicitis. Regardless of preoperative imaging, because the morbidity, and even mortality, from appendicitis is the morbidity of delay, early surgical intervention is recommended. This is a case of complete appendiceal intussusception mimicking acute appendicitis, but the treatment of both conditions is appendectomy. |
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Authors:
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Donald L Fylstra; William N Toussaint; Munazza Anis |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Journal of reproductive medicine Volume: 54 ISSN: 0024-7758 ISO Abbreviation: J Reprod Med Publication Date: 2009 May |
Date Detail:
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Created Date: 2009-06-12 Completed Date: 2009-07-09 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0173343 Medline TA: J Reprod Med Country: United States |
Other Details:
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Languages: eng Pagination: 327-9 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, Medical University of South Carolina, 96 Jonathan Lucas Street, CBS 634F, Charleston, SC 29425, USA. fylstrad@musc.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abdominal Pain Adult Appendicitis* Appendix* Cecal Diseases / diagnosis*, surgery, ultrasonography Diagnosis, Differential Female Fetal Growth Retardation / diagnosis Gestational Age Humans Infant, Newborn Intussusception / diagnosis*, surgery, ultrasonography Labor, Induced Magnetic Resonance Imaging Male Oligohydramnios / diagnosis Pre-Eclampsia / diagnosis Pregnancy Pregnancy Complications / diagnosis* Pregnancy Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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