PMC6104576_01
Contrast enhanced CT showed dilation of an obstructed small intestinal loop. There is a low density mass and potentially twisted mesentery near the transition point (transition point: white arrow, mass: white arrow head).
gr1.jpg
PMC6104576_01_gr1.jpg
fig0005
There was an open loop obstruction and a low density mass measuring 3.0 x 1.5 cm with a potential twist in the mesentery near the transition point (Fig. 1).
Operative findings revealed that the ileum was externally compressed by the appendix, which had a cystic mass at its tip (appendix: white arrow head; root of appendix: black arrow; tip of appendix: white arrow; cecum: black arrow head).
gr2.jpg
PMC6104576_01_gr2.jpg
fig0010
Intraoperative findings revealed that the ileum was compressed by the appendix which had a cystic mass on its tip (Fig. 2).
The resected specimen demonstrated mucus extruding from the mass.
gr3.jpg
PMC6104576_01_gr3.jpg
fig0015
The resected specimen showed mucus extruding from a cystic appendiceal mass measuring 3.0 x 1.5 cm and the length of wrap around the ileum was 4.0 cm (Fig. 3).