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Related Concept Videos

Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Appendicitis01:19

Appendicitis

Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

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Inflammatory Bowel Disease I: Introduction01:26

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Inflammatory bowel disease is a group of chronic disorders marked by recurrent inflammation of the gastrointestinal tract due to an abnormal immune response against gut microflora. This leads to tissue damage. The two main forms are Crohn’s disease and ulcerative colitis.Crohn’s DiseaseCrohn’s disease is a relapsing inflammatory disorder that can affect any part of the GI tract, from the mouth to the anus. It involves all layers of the bowel wall (transmural) and shows “skip lesions” in which...

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Related Experiment Video

Updated: Jun 6, 2026

Murine Appendectomy Model of Chronic Colitis Associated Colorectal Cancer by Precise Localization of Caecal Patch
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Published on: August 24, 2019

Postcolonoscopy appendicitis in a patient with active ulcerative colitis.

Natalie M Bachir1, Linda A Feagins

  • 1Natalie M Bachir, Linda A Feagins, Departments of Medicine, University of Texas Southwestern Medical Center at Dallas and the VA North Texas Health Care System, Dallas, TX 75216, United States.

World Journal of Gastrointestinal Endoscopy
|December 17, 2010
PubMed
Summary

Acute appendicitis is a rare complication following diagnostic colonoscopy. This case highlights the diagnostic challenge in patients with active ulcerative colitis, suggesting fecal impaction as a potential cause.

Keywords:
ColonoscopyComplicationsPostcolonoscopy appendicitisUlcerative colitis

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Area of Science:

  • Gastroenterology
  • Surgical Complications

Background:

  • Colonoscopy is a common diagnostic procedure.
  • Complications are rare, but acute appendicitis is an exceptionally uncommon one.
  • Appendicitis presentation can mimic other post-colonoscopy issues.

Purpose of the Study:

  • To report a rare case of acute appendicitis after colonoscopy.
  • To discuss the diagnostic challenges of this complication.
  • To highlight the occurrence in a patient with active ulcerative colitis.

Main Methods:

  • Case report of a 28-year-old male patient.
  • Patient had active ulcerative colitis.
  • Underwent diagnostic colonoscopy followed by appendicitis development.

Main Results:

  • The patient developed acute appendicitis post-colonoscopy.
  • This is the first reported case in a patient with active ulcerative colitis.
  • Appendicitis presentation mimicked other colonoscopy complications.

Conclusions:

  • Acute appendicitis is a rare but possible complication of colonoscopy.
  • Diagnostic challenges exist due to similar presentations with other complications.
  • Fecal matter obstruction is a hypothesized cause, particularly relevant in inflammatory bowel disease.