Acute appendicitis in the elderly with intussusception of the appendix (clinical case)

Intussusception of the appendix, both primary, caused by anatomical and morphological features and motility of the appendix, and secondary associated with the presence of various benign and malignant neoplasms in the appendix and ileocecal region, remains an insufficiently studied and poorly covered problem in surgical literature to date. Objective of the study: а clinical case of successful diagnosis and treatment of acute appendicitis caused by intussusception of the appendix in elderly and senile individuals is described. Materials and methods. An extremely rare case of complete intussusception of the appendix in a 64-year-old patient who received inpatient treatment at the Academician M.M. Mamakeev National Surgical Center is presented. Results. The presented clinical observation confirms the complexity of preoperative diagnostics of intussusception of the vermiform appendix. The rare variant of intussusception of the vermiform appendix described by us, despite the rarity of this pathology, indicates its enormous clinical significance for emergency surgery. Conclusion.Despite the physiological slowing of intestinal peristalsis in old age, in this age group there remains a risk of developing acute appendicitis associated with intussusception of the appendix