CASE 356 : COLO-COLIC INTUSSUSCEPTION, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Man 56 yo, acute  colic pain at  right  upper quadrant of abdomen, crisis and  vomitting 3 days ago.Ultrasound  scan  at liver: US1..detects big mass  near gallblader liked a bowel loop dilated. US 2: right colon dilated   with  multiple layers  which is oignon sign.US3. Coecum moved up near liver  connected with one cystic mass. US 4  cystic mass  is liquid  with  multiple  rings  [oignon sign] typical of  mucineous  cyst  of appendix.

CT scan abdomen detected  right colon  moving up  with  coecum  intussusception (CT1 frontal  section; CT2, sagittal section; CT3, frontal section).

Emergency  operation with diagnosis :colo-colic intussusception by  appendicular mucocele.See specimen of operation by right colectomy.