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Endoscopic therapy of colonic liver flexure mucocele

Xin-Bo Ai1, Jia-Cheng Feng, Fei-Yue Gong

  • 1Department of Gastroenterology, Third Affiliated Hospital of Jinan University College of Medicine, Zhuhai People's Hospital, Zhuhai, China.

Case Reports in Gastroenterology
|October 1, 2011
PubMed

Insights

Colonic mucoceles are rare, but this case demonstrates successful endoscopic treatment for a hepatic flexure mucocele. Follow-up confirmed no recurrence, highlighting a minimally invasive approach for this unusual condition.

Area of Science:

  • Gastroenterology
  • Colorectal Surgery

Background:

  • Colorectal mucoceles are uncommon, typically originating in the appendix.
  • Colonic mucoceles, particularly in the hepatic flexure, represent a rare clinical entity.

Observation:

  • A 36-year-old male presented with persistent abdominal distension.
  • Colonoscopy identified a polypoid lesion in the hepatic flexure.

Findings:

  • Endoscopic management via hot snare polypectomy and argon plasma coagulation was performed.
  • Histological examination confirmed the lesion as a mucocele without neoplastic changes.
  • Post-procedure follow-up at 6 and 12 months revealed no signs of recurrence.

Implications:

  • This case establishes endoscopy as a viable and effective treatment for colonic mucoceles.
  • Minimally invasive endoscopic techniques can be successfully applied to rare colonic lesions.
  • Successful management of hepatic flexure mucoceles may prevent the need for surgical intervention.
Keywords:
Colonic liver flexureEndoscopic polypectomyMucocele

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