A Case of Intussusception of the Cecum and Appendix Due to Endometriosis Mistaken as a Cecal Tumor.

Lee, Tea Hwa; Lee, Cheon Jun; Kim, Won Gue; Jeon, Chang Wan; Yoon, Myung Hee; Yoon, Ki Young; Kong, Eun Hee

Case Report

Korean Journal of Obstetrics & Gynecology 2003;46(7):1457-1460.
Published online July 1, 2003.

A Case of Intussusception of the Cecum and Appendix Due to Endometriosis Mistaken as a Cecal Tumor.

Tea Hwa Lee, Cheon Jun Lee, Won Gue Kim, Chang Wan Jeon, Myung Hee Yoon, Ki Young Yoon, Eun Hee Kong

¹Department of Obstetrics and Gynecology, Gaspel Hospital, Kosin University Collage of Medicine, Busan, Korea.
²Department of Surgery, Gaspel Hospital, Kosin University Collage of Medicine, Busan, Korea.
³Department of Family Medicine, Gaspel Hospital, Kosin University Collage of Medicine, Busan, Korea.

Abstract

We report a case of intussusception of the cecum and appendix arising in pericecal endometriosis that are mistaken as a cecal tumor preoperatively. At the other OBGY clinic, the 1st lapalotomy was performed for management of leiomyoma but pelvic organs were adhesion severely and palpation mass in the cecum and appendix. The patient was transfer to our hospital for evaluation and treatment of mass. We investigated to intestine closely and diagnosis was cecal tumor colonoscopically. Total hystrectomy and iliocecectomy was performed successfully and discovered intussusception of the cecum and appendix due to endometriosis mistaken as a cecal tumor in operative field. Postoperatively, this case was diagnosed in pericecal endometriosis histologically.

Key Words: Cecal tumor, Intussusception, Endometriosis