Summary
Fifty benign epithelial neoplasms were encountered during the examination of more than 30,000 appendectomy specimens in the Laboratory of Surgical Pathology, Columbia University. In 44 cases, the neoplasms were papillary cystadenomas; in 11 of these cases, there were complications, all thought to have been caused by abnormal accumulations of mucus. We have reported a unique case of an incarcerated intussusception, and attempted to explain the pathogenesis of this unusual complication. We have also summarized the existing medical literature on the subject of intussusception of adenomatous lesions of the appendix.
Similar content being viewed by others
References
Adelman BP, Teplick JG: Intussusception of appendiceal mucoceles. Am J Roentgenol Radium Ther Nucl Med 73: 966, 1955
Aho AJ, Heinonen R, Laurén P: Benign and malignant mucocele of the appendix: Histological types and prognosis. Acta Chir Scand 139: 392, 1973
Beard DD: Intussusception of mucocele of the appendix. Med J Aust 1: 43, 1955
Blaxland AJ: Intussusception of the vermiform appendix. Br J Surg 8: 227, 1920
Bridger GP: Intussusception of a calcified mucocele of the appendix. Br J Surg 55: 145, 1968
Burghard FF: Intussusception of the vermiform appendix, the intussusceptum protruding from the anus. Br J Surg 1: 721, 1914
Darby AJ, Doctor A: Villous papilloma of the appendix associated with mucocele and intussusception. Postgrad Med J 50: 650, 1974
Elson MW: Cecal invagination by a mucocele of the appendix. Radiology 71: 90, 1958
Fraser K: Intussusception of the appendix. Br J Surg 31: 23, 1943
Higa E, Rosai J, Pizzimbono CA, et al: Mucosal hyperplasia, mucinous cystadenoma, and mucinous cystadenocarcinoma of the appendix: A re-evaluation of appendiceal “mucocele”. Cancer 32: 1525, 1973
Higa E, Rosai J, Pizzimbono CA: Mucinous cystadenoma and mucinous cystadenocarcinoma of the appendix: A reevaluation of “mucocele” and “malignant mucocele” (abstr). Lab Invest 26: 478, 1972
Hilsabeck JR, Woolner LB, Judd ES Jr: Some uncommon causes of appendiceal mucocele. Am J Surg 84: 670, 1952
Jones TE, Carmody MG: Mucocele of appendix: Report of two cases, one causing intussusception and partial intestinal obstruction. Am J Surg 32: 511, 1936
King-Pan C: Volvulus complicating mucocele of the appendix. Br J Surg 52: 713, 1965
Leger L, Premont M, DeLaitre B, et al: Mucocéles appendiculaires: A propos 9 cas. J Chir 106: 413, 1973
Mann LS, Wolf A, Greenblatt M: Intussusception due to mucocele of the appendix. Surgery 55: 672, 1964
McCormick WF: Intussusception of the vermiform appendix with a mucocele: Review of literature with report of a case. Arch Pathol 64: 686, 1957
Parsons J, Gray GF, Thorbjarnarson B: Pseudomyxoma peritonei. Arch Surg 101: 545, 1970
Qizilbash AH: Mucoceles of the appendix: Their relationship to hyperplastic polyps, mucinous cystadenomas, cystadenomas, and cystadenocarcinomas. Arch Pathol 99: 548, 1975
Rose TF: Benign mucocele of the appendix: A report of five cases, two of which were complicated. Med J Aust 2: 821, 1954
Schmutzer KJ, Bayar M, Zaki AE, et al: Tumors of the appendix. Dis Colon Rectum 18: 324, 1975
Ward-McQuaid JN: A case of compound intussusception of a mucocele of the appendix. Br J Surg 37: 109, 1950
Wolff M, Ahmed N: Epithelial neoplasms of the vermiform appendix (exclusive of carcinoid). II. Cystadenomas, papillary adenomas, and adenomatous polyps of the appendix. Cancer 37: 2511, 1976
Woodruff R, McDonald JR: Benign and malignant cystic tumors of the appendix. Surg Gynecol Obstet 71: 750, 1940
Zeifer HD: Intussusception of the appendix: Report of a case and review of the literature. J Mount Sinai Hosp 18: 125, 1951
Author information
Authors and Affiliations
Additional information
Supported in part by a grant from the N.C.I., #CA-18180-03.
About this article
Cite this article
Holck, S., Wolff, M. Intussusception with incarceration of a cystadenoma of the appendix: Case report and review of the complications of appendiceal adenomas. Dis Colon Rectum 22, 133–138 (1979). https://doi.org/10.1007/BF02586780
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF02586780