Inverted appendix mistaken for a polyp during colonoscopy and leading to intussusception

Ram, Ashok D.; Peckham, Clare; Akobeng, Anthony K.; Thomas, Adrian G.; David, Timothy J.; Patel, Leena

doi:10.1016/j.jcf.2005.03.002

« Previous Next »Journal of Cystic Fibrosis
Volume 4, Issue 3 , Pages 203-204, September 2005

Inverted appendix mistaken for a polyp during colonoscopy and leading to intussusception

Ashok D. Ram
- Department of Paediatric Surgery, Central Manchester and Manchester Children's University Hospitals, UK
Clare Peckham
- Department of Paediatrics, Royal Lancaster Infirmary, Lancaster, UK
Anthony K. Akobeng
- Department of Paediatric Gastroenterology, Central Manchester and Manchester Children's University Hospitals, UK
Adrian G. Thomas
- Department of Paediatric Gastroenterology, Central Manchester and Manchester Children's University Hospitals, UK
Timothy J. David
- Academic Unit of Child Health, The University of Manchester, Booth Hall Children's Hospital, Manchester, M9 7AA UK
Leena Patel
- Academic Unit of Child Health, The University of Manchester, Booth Hall Children's Hospital, Manchester, M9 7AA UK
- Corresponding author. Tel.: +44 161 220 5536; fax: +44 161 740 6239.

Received 23 March 2005; accepted 23 March 2005.

Abstract

A spectrum of appendiceal diseases, ranging from simple mucous distension to acute perforated appendicitis, are seen in patients with CF. We report a 6 year old boy with CF and recurrent periumbilical pain. During colonoscopy, a fleshy pedunculated mass at the junction of the ascending colon and caecum was mistaken for a polyp and excised. However, histopathological examination suggested it was a segment of inverted appendix. The remnant of the inverted appendix was subsequently found to be associated with an intussusception.

Keywords: Chronic intussusception, Nonischaemic intussusception, Incomplete intestinal obstruction, Cystic fibrosis