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Sonographic diagnosis of intussusception of the appendix vermiformis

✍ Scribed by Wolfgang Pumberger; Marcus Hörmann; Gerhard Pomberger; Ulrike Hallwirth

Publisher
John Wiley and Sons
Year
2000
Tongue
English
Weight
753 KB
Volume
28
Category
Article
ISSN
0091-2751

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✦ Synopsis

We present 2 cases of intussusception of the appendix vermiformis (IAV) in children. Sonographic examination demonstrated a lead point within a characteristic multiconcentric ring sign, and longitudinal sonograms showed the inverted appendix protruding into the cecal lumen. A contrast-enema study, using a water-soluble contrast medium, was performed in each case, and a "coiled-spring" sign or "spiral shell" appearance confirmed the diagnosis. A surgical reduction of the appendix and an appendectomy were performed in each case.

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