Volume 4, Issue 1, Pages (January 2019)

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Volume 4, Issue 1, Pages 34-36 (January 2019) Endoscopic full-thickness resection of a long intussuscepted appendix by use of a colonoscope Ghassan M. Hammoud, MD, MPH, Jacob Quick, MD, Sami Samiullah, MD, Deepthi Rao, MD, Jamal A. Ibdah, MD, PhD VideoGIE Volume 4, Issue 1, Pages 34-36 (January 2019) DOI: 10.1016/j.vgie.2018.10.001 Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 CT view of abdomen and pelvis revealing a long tubular structure in the cecum suggestive of intussuscepted appendix. VideoGIE 2019 4, 34-36DOI: (10.1016/j.vgie.2018.10.001) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 2 Colonoscopic view showing a long inverted intussuscepted appendix. VideoGIE 2019 4, 34-36DOI: (10.1016/j.vgie.2018.10.001) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 3 Endoscopic view showing detachable snares applied at base of appendix. VideoGIE 2019 4, 34-36DOI: (10.1016/j.vgie.2018.10.001) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 4 Endoscopic view showing full-thickness resection of appendix using a stiff snare. VideoGIE 2019 4, 34-36DOI: (10.1016/j.vgie.2018.10.001) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 5 Endoscopic view showing full-thickness resection of the retrieved appendix. VideoGIE 2019 4, 34-36DOI: (10.1016/j.vgie.2018.10.001) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 6 Application of over-the-scope clip at the tip of the resected appendix. VideoGIE 2019 4, 34-36DOI: (10.1016/j.vgie.2018.10.001) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 7 Histopathologic view of specimen from the appendix showing minute focus of embedded luminal epithelium within the muscularis; additionally, a focus of mesothelial lining is internalized, suggestive of intussuscepted appendix (H & E, orig. mag. × 2). VideoGIE 2019 4, 34-36DOI: (10.1016/j.vgie.2018.10.001) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions