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Related Concept Videos

Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

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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...
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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
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Related Experiment Video

Updated: Mar 19, 2026

Murine Appendectomy Model of Chronic Colitis Associated Colorectal Cancer by Precise Localization of Caecal Patch
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Appendiceal mucocoele with midgut malrotation.

D Yap1, J Hassall1, G L Williams1

  • 1Royal Gwent Hospital , Newport , UK.

Annals of the Royal College of Surgeons of England
|June 9, 2016
PubMed
Summary

This case report details an extremely rare adult presentation of both midgut malrotation and appendiceal mucocoele. The combined pathologies posed a diagnostic challenge, highlighting the need for vigilance in surgical practice.

Keywords:
Abdominal painAppendixIntestinal malrotationMucocoele

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Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Midgut malrotation and appendiceal mucocoele are individually rare in adults.
  • Combined occurrences are exceptionally uncommon, with limited documented cases.

Observation:

  • A 65-year-old male presented with abdominal pain, bloating, and weight loss.
  • Imaging revealed an elongated cystic mass and suspected intestinal malrotation.
  • Histopathology confirmed a low-grade mucinous appendiceal tumor.

Findings:

  • Successful surgical resection of the appendiceal mucinous tumor was performed.
  • The patient experienced no recurrence or complications at 12-month follow-up.

Implications:

  • This case underscores the diagnostic complexities arising from rare combined gastrointestinal pathologies.
  • It emphasizes the importance of thorough evaluation in general surgery to avoid diagnostic pitfalls.