CASE 266: COLO-COLIC INTUSSUSCEPTION, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Man 38 yo, epigastric pain crisis on  periodic treatment  like gastritis but not response.

Ultrasound first in emergency  at MEDIC detected one mass  near  gallbladder with  multilayer cover as  OINION SIGN, and a central cyst.

This mass was  in transverse colon.  Sonologist  suggested a colocolic intussusception  (see 04  ultrasound  images and video clip).

Do you have any idea about the cyst in an intussusception mass?.

MSCT   with CE showed this  mass in transverse colon with cystic mass  looked like   appendicular mucocele.

Emergency laparotomy performed right hemicolectomy,   macroscopic specimen was appendicular mucocele [see photo]..

Microscopic report was  mucocele  appendicular  due to  fibrosis of appendix.

REFERENCE:  Case 181 Medic case.