We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Appendectomy by Intussusception

Richard M. Marks, MD; Gabriel Halby, MD
Arch Surg. 1972;105(3):532. doi:10.1001/archsurg.1972.04180090127033.
Text Size: A A A
Published online


To the Editor.  —Hallatt1 in gynecologic surgery and Lilly and Randolph2 in pediatric surgery have rekindled interest in the intussusception (inversion) method for performing an appendectomy. There is immediate appeal, for the technique accomplishes "clean" appendectomy as an incidental procedure.We have had a recent experience with a woman who bled from the residual stump one month after hysterectomy to a level of 7 gm/100 ml of hemoglobin. It is evident that although the mesenteric vascular supply to the appendix is interrupted by this technique, the mural vascular plexus is not. Those vessels remaining may be sufficient to produce significant blood loss.The inability, furthermore, to distinguish an inverted or intussuscepted stump from a polypoid cecal lesion on x-ray examination has led to unnecessary exploratory surgery3 when a later clinical problem presents itself, pointing to obscure gastrointestinal blood loss.Also the creation of an intussusceptum as a


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.