{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,22]],"date-time":"2026-03-22T17:51:57Z","timestamp":1774201917727,"version":"3.50.1"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2026,3,22]],"date-time":"2026-03-22T00:00:00Z","timestamp":1774137600000},"content-version":"vor","delay-in-days":21,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Adult intussusception caused by an appendiceal mucocele is rare, and according to the WHO classification many such lesions are neoplastic, including low-grade appendiceal mucinous neoplasms (LAMNs). A woman in her forties presented with right lower abdominal pain. Computed tomography showed ileocecal intussusception with a 34-mm cystic mass as the lead point. As there were no imaging findings suggestive of malignancy or bowel ischemia, cautious endoscopic reduction was performed. Post-reduction imaging suggested an appendiceal mucocele. After one week of bowel rest, laparoscopic ileocecal resection was performed while avoiding direct tumor manipulation. Histopathology confirmed a LAMN with negative margins and no rupture. This case demonstrates that a staged strategy incorporating endoscopic reduction, bowel rest, and interval laparoscopic surgery can stabilize the patient, enable safe tumor removal, and minimize the extent of bowel resection in carefully selected, clinically stable patients without increasing operative risk or compromising oncologic principles in practice settings.<\/jats:p>","DOI":"10.1093\/jscr\/rjag186","type":"journal-article","created":{"date-parts":[[2026,3,22]],"date-time":"2026-03-22T17:11:40Z","timestamp":1774199500000},"source":"Crossref","is-referenced-by-count":0,"title":["Stepwise management of adult intussusception caused by an appendiceal mucocele: a case report of endoscopic reduction followed by interval laparoscopic resection"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-1862-3247","authenticated-orcid":false,"given":"Yasutaka","family":"Saito","sequence":"first","affiliation":[{"name":"Department of Surgery, Seirei Hamamatsu General Hospital , Chuo-ku Sumiyoshi 2-12-12, Hamamatsu, Shizuoka, 430-8558 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sumito","family":"Sato","sequence":"additional","affiliation":[{"name":"Department of Surgery, Seirei Hamamatsu General Hospital , Chuo-ku Sumiyoshi 2-12-12, Hamamatsu, Shizuoka, 430-8558 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,3,22]]},"reference":[{"key":"2026032213113872500_ref1","doi-asserted-by":"crossref","first-page":"407","DOI":"10.3748\/wjg.15.407","article-title":"Intussusception of the bowel in adults: a review","volume":"15","author":"Marinis","year":"2009","journal-title":"World J Gastroenterol"},{"key":"2026032213113872500_ref2","first-page":"449","article-title":"Diagnosis and treatment of adult intussusception","volume":"165","author":"Reijnen","year":"1993","journal-title":"Am J Surg"},{"key":"2026032213113872500_ref3","first-page":"307","article-title":"Adult intussusception due to appendiceal mucocele","volume":"73","author":"Ruiz-Tovar","year":"2007","journal-title":"Am Surg"},{"key":"2026032213113872500_ref4","volume-title":"WHO Classification of Tumours Editorial Board"},{"key":"2026032213113872500_ref5","first-page":"667","article-title":"A consensus for classification and pathologic reporting of pseudomyxoma peritonei and associated appendiceal mucinous neoplasms","volume":"69","author":"Carr","year":"2016","journal-title":"J Clin Pathol"},{"key":"2026032213113872500_ref6","doi-asserted-by":"crossref","first-page":"864","DOI":"10.5858\/134.6.864","article-title":"Appendiceal mucinous neoplasms: controversial issues","volume":"134","author":"Misdraji","year":"2010","journal-title":"Arch Pathol Lab Med"},{"key":"2026032213113872500_ref7","doi-asserted-by":"crossref","first-page":"3303","DOI":"10.3748\/wjg.15.3303","article-title":"Adult intussusception: a retrospective review of 41 cases","volume":"15","author":"Wang","year":"2009","journal-title":"World J Gastroenterol"},{"key":"2026032213113872500_ref8","first-page":"287","article-title":"Laparoscopic treatment of appendiceal mucoceles","volume":"25","author":"Park","year":"2015","journal-title":"Surg Laparosc Endosc Percutan Tech"},{"key":"2026032213113872500_ref9","first-page":"140","article-title":"Intussusception caused by an appendiceal mucinous cystadenoma in an adult","volume":"81","author":"Kim","year":"2011","journal-title":"J Korean Surg Soc"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/3\/rjag186\/67471520\/rjag186.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/3\/rjag186\/67471520\/rjag186.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,22]],"date-time":"2026-03-22T17:11:42Z","timestamp":1774199502000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag186\/8537046"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":9,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3,6]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag186","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,3]]},"published":{"date-parts":[[2026,3]]},"article-number":"rjag186"}}