A Case of Asymptomatic Congenital Inverted Appendix |
Ki Hoon Kim, Geom Seog Seo, Chang Soo Choi, Sae Ron Shin, Suck Chei Choi |
Departments of Internal Medicine, Digestive Disease Research Institute and Family Medicine, Wonkwang University School of Medicine, Iksan, Korea
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무증상의 선천성 내장성 충수 1예 |
김기훈, 서검석, 최창수, 신새론, 최석채 |
원광대학교 의과대학 내과학교실, 소화기질환 연구소, 가정의학교실 |
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Abstract |
An inverted appendix is a rare condition that develops in conjunction with pathologic or anatomic conditions, such as polyps, worms, carcinomas, mucoceles, fecaliths, or post-appendectomy. There are few reports of congenital inverted appendices. The clinical symptoms can range from no symptoms to acute or chronic lower abdominal pain, as in appendicitis. An inverted appendix can be diagnosed by barium enema, colonoscopy, ultrasound, and CT scan, but few cases are reported pre-operatively. Indeed, most cases are diagnosed intra-operatively. Because an inverted appendix is often misdiagnosed as a polyp during colonoscopy, it is important to differentiate an inverted appendix from a polyp or tumor for therapeutic planning. We report herein a 76-year-old woman who had no clinical symptoms of a congenital inverted appendix which had been observed without any treatment or symptoms over a 7 year period. (Intest Res 2009;7:114-117) |
Key Words:
Intussusception, Appendix, Congenital, Colonoscopy |
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