Intraluminal endoscopic removal of the appendix after intravaginal appendectomy in a 9-year-old child

Abstract

Introduction. Appendix invertus is a rare condition in which the appendix is invaginated into the cecum lumen. This pathology has a wide spectrum of clinical manifestations ranging from asymptomatic course to severe inflammation.

Purpose. To describe the first clinical experience in pediatric practice of successful appendix removal using flexible intraluminal endoscopy.

Material and methods. A clinical case of a 9-year-old female patient who was admitted to Irkutsk Municipal Pediatric Clinical Hospital was analyzed. On admission, the patient had clinical signs of acute abdomen with a history of previous appendectomy performed by the “invagination” technique. Based on the hypothesis, that the inverted appendix is in the intestinal lumen, it was decided to perform appendectomy with flexible intraluminal endoscopy.

Results. It has been demonstrated that intraluminal endoscopy in pediatrics may be applied in rare clinical situations; in our case, it was necessary to remove the inverted appendix.

Conclusion. Flexible intraluminal endoscopy is a curative modality which illustrates the progress in improvement and expansion of indications and techniques in the area of NOTES surgery.

Keywords

аppendectomy / аppendiceal inversion / colonoscopy

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