Aurangzeb Khan.
Intussusception of Vermiform Appendix a case study.
J Surg Pak Jan ;7(3):54-5.

A case of intussusception of vermiform appendix diagnosed on sonography is reported. Appendectomy was carried out through an elliptical incision around the base of the appendix recovery was smooth. CASE REPORT:

A six year old girl presented with twelve hours history of loose watery stools and vomiting. She developed colicky central abdominal pain almost six hours after loose motions. Few hours later she passed blood in stools. The blood was initially mixed with stools but later became currant jelly like. The girl was dehydrated and pale but apparently not in acute distress. Her pulse was 120 beats per min and respiratory rate was 32 per min. Her temperature was 99°F. There was an ill-defined tender mass in the right iliac fossa and adjacent paraumbilical region. Rest of the abdomen was soft and non-tender. Bowel sounds were exaggerated. Per rectal examination revealed clotted blood, which on evacuation was followed by fresh blood coming from higher up. No anorectal bleeding point or any other pathology was found. Sonography of abdomen revealed a mass involving ileocaecal region suggestive of intussusception. Exploration through a right paramedian incision found that the appendix had invaginated into the caecum causing an intussusception. The intussusception was the cause of the mass and bleeding. Caecum itself was mobile and had a long mesentery. Appendix was removed through an elliptical incision around the base, which was closed in two layers. Caecopexy was done after placing caecum in right iliac fossa. Her post operative recovery was smooth. Histopathology of the specimen confirmed the diagnosis of intussusception of appendix. It containec no pathologic lead point.

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