CASO CLÍNICO
Algarve Médico, 2020; 12 (4): 24 - 29
CASE REPORT
Xanthogranulomatous appendicitis as a cause of intussusception in the adult - A case report António Rivero1, Jose Parra2, Daniel Cartucho1, António Lourenço1 1 2
. Serviço de Cirurgia II - Centro Hospitalar Universitário Algarve . Serviço de Anatomia Patológica - Centro Hospitalar Universitário Algarve
tonidelgado@gmail.com
Abstract In adults, intussusception is a rare cause of bowel obstruction. For the diagnosis, we must have a high index of suspicion, a complete anamnestic recall, a physical examination, and imaging modalities. Nonoperative reduction is first tried, but treatment of intussusception in adults is usually surgical, with a segmental bowel resection that includes the nonviable bowel as well as the leading point of the intussusception. The authors present a case of a 42-year-old male patient with a xanthogranulomatous appendicitis, as the etiology of a ileo-cecal intussusception, followed by a discussion of the pathological entity. The authors review cases with xanthogranulomatous appendicitis, as as cause for right hemicolectomy. Far as we know, this is the first case of an Xanthogranulomatous appendicitis as a lead point causing an adult intussusception.
Keywords: Xanthogranulomatous appendicitis; intussusception; case report
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