Intraluminal endoscopic removal of the appendix after intravaginal appendectomy in a 9-year-old child



如何引用文章

全文:

开放存取 开放存取
受限制的访问 ##reader.subscriptionAccessGranted##
受限制的访问 订阅或者付费存取

详细

Introduction. Appendix invertus is a rare condition in which the appendix is invaginated into the cecum lumen. This pathology has a wide spectrum of clinical manifestations ranging from asymptomatic course to severe inflammation.

Purpose. To describe the first clinical experience in pediatric practice of successful appendix removal using flexible intraluminal endoscopy.

Material and methods. A clinical case of a 9-year-old female patient who was admitted to Irkutsk Municipal Pediatric Clinical Hospital was analyzed. On admission, the patient had clinical signs of acute abdomen with a history of previous appendectomy performed by the “invagination” technique. Based on the hypothesis, that the inverted appendix is in the intestinal lumen, it was decided to perform appendectomy with flexible intraluminal endoscopy.

Results. It has been demonstrated that intraluminal endoscopy in pediatrics may be applied in rare clinical situations; in our case, it was necessary to remove the inverted appendix.

Conclusion. Flexible intraluminal endoscopy is a curative modality which illustrates the progress in improvement and expansion of indications and techniques in the area of NOTES surgery.

作者简介

N. Stepanova

Ivano-Matreninskaya Municipal Pediatric Clinical Hospital; Irkutsk State Medical University

编辑信件的主要联系方式.
Email: sergiklee@mail.ru

М. Stepanova, MD, Cand.Sc.(med), аssociate professor at chair of pediatric surgery; pediatric surgeon

Irkutsk, 664009, Russian Federation

Irkutsk, 664003, Russian Federation

俄罗斯联邦

I. Sharapov

Ivano-Matreninskaya Municipal Pediatric Clinical Hospital

Email: fake@neicon.ru

Irkutsk, 664009, Russian Federation

俄罗斯联邦

D. Zvonkov

Ivano-Matreninskaya Municipal Pediatric Clinical Hospital

Email: fake@neicon.ru

Irkutsk, 664009, Russian Federation

俄罗斯联邦

M. Mochalov

Ivano-Matreninskaya Municipal Pediatric Clinical Hospital; Irkutsk State Medical University

Email: fake@neicon.ru

Irkutsk, 664009, Russian Federation

Irkutsk, 664003, Russian Federation

俄罗斯联邦

E. Petrov

Ivano-Matreninskaya Municipal Pediatric Clinical Hospital

Email: fake@neicon.ru

Irkutsk, 664009, Russian Federation

俄罗斯联邦

N. Mikhailov

Ivano-Matreninskaya Municipal Pediatric Clinical Hospital

Email: fake@neicon.ru

Irkutsk, 664009, Russian Federation

俄罗斯联邦

D. Grigoriev

Ivano-Matreninskaya Municipal Pediatric Clinical Hospital

Email: fake@neicon.ru

Irkutsk, 664009, Russian Federation

俄罗斯联邦

T. Artemieva

Ivano-Matreninskaya Municipal Pediatric Clinical Hospital

Email: fake@neicon.ru

Irkutsk, 664009, Russian Federation

俄罗斯联邦

参考

  1. Edebohls G.M. Inversion of the vermiform appendix. Am J Med Sci. 1895; 109: 650-3.
  2. Vaughn A.M., Widran J. Inverted appendical stump simulating cancer of the cecum. J Am Med Assoc. 1954; 154 (12): 996-7.
  3. Järvensivu P., Lehtola J., Karvonen A.L., Rinne A., Suramo I. Colonoscopic appearance of the remnant of the appendix after total inversion. Endoscopy. 1982; 14: 66–8.
  4. Navarra G., Asopa V., Basaglia E., Jones M., Jiao L., Habib N. Mucous cystadenoma of the appendix: is it safe to remove it by a laparoscopic approach. Surg Endosc. 2003; 17(5): 833–4.
  5. Johnson E.K., Arcila M.E., Steele S.R. Appendiceal inversion: a diagnostic and therapeutic dilemma. JSLS. 2009; 13(1): 92–5.
  6. Александров С.В., Баиров А.Г., Баиров В.Г., Баранов А.А., Кашин А.С., Козлов В.П., Листратов С.М., Сигунов В.С. – аппендикулярный перитонит у детей. Детская хирургия. 2019; 23(1, Приложение): 11.
  7. Engström L. Fenyö G. Appendicectomy: assessment of stump invagination versus simple ligation. a prospective, randomized trial. Br J Surg. 1985; 72 (12): 971-2.
  8. Järvensivu P., Lehtola J., Karvonen A.L., Rinne A., Suramo I. Colonoscopic appearance of the remnant of the appendix after total inversion. Endoscopy. 1982; 14 (2): 66-8.
  9. Myllärniemi H., Perttala Y., Peltokallio P. Tumor-like lesions of the cecum following inversion of the appendix. Am J Dig Dis. 1974; 19 (6): 547-56.
  10. Pickhardt P.J. Differential diagnosis of polypoid lesions seen at CT colonography (virtual colonoscopy). Radiographics. 2004; 24 (6): 1535-59.
  11. Lilly J.R., Randolph J.G. Total inversion of the appendix: experience with incidental appendectomy in children. J Pediatr Surg. 1968; 3: 357-63.
  12. Burchard P.R., Thomay A.A.Appendiceal intussusception in the setting of ulcerative colitis. J Surg Case Rep. 2018; 2018(4): rjy044.
  13. Hood P.A. Intussusception in infants and children. J Irish Med Ass. 1967; LX: 13.
  14. Johnson E.K., Arcila M.E., Steele S.R.. Appendiceal inversion: a diagnostic and therapeutic dilemma. JSLS. 2009; 13(1): 92–5.
  15. Fazio R.A., Wickremesinghe P.C., Arsura E.L., Rando J. Endoscopic removal of an intussuscepted appendix mimicking a polyp – an endoscopic hazard. Am J Gastroenterol. 1982 Aug; 77(8): 556-8.
  16. Tran C., Sakioka J., Nguyen E., Beutler B.D., Hsu J. An inverted appendix found on routine colonoscopy: A case report with discussion of imaging findings. Radiol Case Rep. 2019; 14(8): 952–5.
  17. Enander L.K., Gustavsson S. Colonoscopic appendectomy. Acta Chir Scand. 1979; 145(8): 575–6.
  18. Лохматов М.М., Будкина Н.Н, Олдаковский В.И., Тупыленко А В., Ибрагимов С.И. Внутрипросветная эндоскопия у детей – прошлое, настоящее, будущее” Российский педиатрический журнал. 2018; 21(4): 230-6.
  19. Byoung Y.R. et al. Colonoscopic Diagnosis of Appendiceal Intussusception: A Case Report. J Korean Med Sci. 2005; 20: 680-2.

补充文件

附件文件
动作
1. JATS XML
下载

版权所有 © ,

##common.cookie##