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Appendiceal intussusception from endometriosis
  1. Marc Paul Jose Lopez1,2,
  2. Valerie Chan2,
  3. Mark Francis Melendres2 and
  4. Rainier Lutanco2
  1. 1Department of Surgery, Philippine General Hospital, Manila, Philippines
  2. 2Department of Surgery, Chinese General Hospital and Medical Center, Manila, Philippines
  1. Correspondence to Dr Marc Paul Jose Lopez; mjlopez4{at}


An asymptomatic 39-year-old woman was noted to have occult bleeding by faecal immunohistochemical test. Investigations showed a 3 cm×2 cm caecal lesion by colonoscopy that was consistent with abdominal CT scan findings of a 1.6 cm×1.9 cm×2.3 cm enhancing focus in the medial caecal wall. The patient underwent laparoscopic right hemicolectomy after diagnostic laparoscopy and intraoperative colonoscopy revealed an intussuscepted appendix. The final histopathology was an appendiceal intussusception secondary to endometriosis.

  • surgery
  • gastrointestinal surgery
  • general surgery

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  • Contributors MPJL is the lead author and primary surgeon. VC reviewed all pertinent literature for the case. MFM is one of the surgical assists and did manuscript editing. RL is one of the surgical assists and did manuscript editing.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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