World Journal of Pediatrics

, Volume 9, Issue 4, pp 369–372 | Cite as

Aseptic intussuscepted incidental appendectomy: three successful cases

  • Evangelia Rachmani
  • Zacharias Zachariou
  • Ulf Kessler
Brief report



Incidental appendectomy remains a controversial issue. We aimed to collect experience using a modified surgical technique that could be applied securely in infants.


We performed aseptic intussuscepted incidental appendectomy (AIIA) in three patients using a technique that is thought to assure appendix necrosis along with intact cecal wall.


There was no perioperative morbidity due to AIIA in the three patients. In two infants the necrotic appendix was found in the diaper. One infant died secondary to diaphragmatic hernia. Autopsy with histological examination revealed that the cecum was intact along with appendix necrosis.


Modified AIIA could securely be performed in the 3 reported cases. We advocate prospective evaluation of the method.

Key words

appendectomy appendicitis inversion appendectomy 


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  1. 1.
    McCarville MB, Ross MB, Rao BN, Furman WL. Sonographic appearance of appendicitis in a neutropenic pediatric patient after inversion appendectomy. Pediatr Radiol 2001;31:578–580.PubMedCrossRefGoogle Scholar
  2. 2.
    Arora A, Caniano AC, Hammond S, Besner GE. Inversion appendectomy acting as a lead point for intussusception. Pediatr Surg Int 2008;24:1261–1264.PubMedCrossRefGoogle Scholar
  3. 3.
    Almasad JK, Daoud FS. Long-term outcome of simple inversion of the appendix as an alternative to incidental appendectomy. Ann Saudi Med 2008;28:179–182.PubMedCrossRefGoogle Scholar
  4. 4.
    Reding R, Clapuyt P, Lengele B, Veyckemans F, Noel H, Sokal E, et al. Intestinal hemorrhage three years after incidental appendectomy by total inversion. Eur J Pediatr Surg 1993;3:59–60.PubMedCrossRefGoogle Scholar
  5. 5.
    Wheeler RA, Malone PS. Use of the appendix in reconstructive surgery: A case against incidental appendicectomy. Br J Surg 1991;78:1283–1285.PubMedCrossRefGoogle Scholar
  6. 6.
    Mulvihill S, Goldthorn J, Woolley MM. Incidental appendectomy in infants and children. Risk v rationale. Arch Surg 1983;118:714–716.PubMedCrossRefGoogle Scholar
  7. 7.
    Fisher KS, Ross DS. Guidelines for therapeutic decision in incidental appendectomy. Surg Gynecol Obstet 1990;171:95–98.PubMedGoogle Scholar
  8. 8.
    Snyder TE, Selanders JR. Incidental appendectomy—yes or no? A retrospective case study and review of the literature. Infect Dis Obstet Gynecol 1998;6:30–37.PubMedGoogle Scholar
  9. 9.
    Sugimoto T, Edwards D. Incidence and costs of incidental appendectomy as a preventive measure. Am J Public Health 1987;77:471–475.PubMedCrossRefGoogle Scholar
  10. 10.
    Lilly JR, Randolph JG. Total inversion of the appendix: experience with incidental appendectomy in children. J Pediatr Surg 1968;3:357–363.PubMedCrossRefGoogle Scholar
  11. 11.
    Edebohls GM. Inversion of the vermiform appendix. Am J Med Sci 1895;109:650–656.CrossRefGoogle Scholar
  12. 12.
    Bishop HC, Filston HC. An inversion-ligation technique for incidental appendectomy. J Pediatr Surg 1973;8:889–892.PubMedCrossRefGoogle Scholar
  13. 13.
    Meissner K. Inversion versus amputation of the appendix: an objective comparison of 440 randomized cases (author’s transl) Langenbecks Arch Chir 1980;353:129–138.PubMedCrossRefGoogle Scholar
  14. 14.
    Voeller GR, Fabian TC. Inversion-ligation appendectomy for incidental appendectomy. Am J Surg 1991;161:483–484.PubMedCrossRefGoogle Scholar

Copyright information

© Children's Hospital, Zhejiang University School of Medicine and Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Evangelia Rachmani
    • 1
  • Zacharias Zachariou
    • 2
  • Ulf Kessler
    • 1
    • 3
  1. 1.Department of Pediatric Surgery, InselspitalUniversity of BerneBerneSwitzerland
  2. 2.University of BerneBerneSwitzerland
  3. 3.Department of Pediatric SurgeryUniversity of Berne, InselspitalBerneSwitzerland

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