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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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Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

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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.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
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Inflammatory Bowel Disease II: Crohn's Disease01:30

Inflammatory Bowel Disease II: Crohn's Disease

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Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
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Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

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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...
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Cancer Cell Migration through Invadopodia01:35

Cancer Cell Migration through Invadopodia

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Invadosome is a broad category of cell surface structures with proteolytic activity that  degrades the extracellular matrix (ECM). Invadosomes are present in normal cell types, including macrophages, endothelial cells, and neurons, as well as tumor cells. Although the macrophage podosomes and tumor cell invadopodia are classified as invadosomes, they have different structures, molecular pathways, and functions. Podosomes are short structures that last for a few minutes. However,...
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Histology of the Large Intestine01:26

Histology of the Large Intestine

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The large intestine, a vital component of the gastrointestinal tract, is structured with four main layers: the mucosa, submucosa, muscularis, and serosa. Each layer performs a distinct role in facilitating the smooth functioning of the large intestine.
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Related Experiment Video

Updated: Dec 19, 2025

Murine Appendectomy Model of Chronic Colitis Associated Colorectal Cancer by Precise Localization of Caecal Patch
08:51

Murine Appendectomy Model of Chronic Colitis Associated Colorectal Cancer by Precise Localization of Caecal Patch

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Appendiceal malakoplakia masquerading as a cecal mass.

Tashinga Musonza1, Jose Antonio Tschen2

  • 1Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA.

Journal of Surgical Case Reports
|June 9, 2020
PubMed
Summary

Appendiceal malakoplakia presenting as a cecal mass is a rare condition. This case highlights the importance of considering this rare diagnosis in appendiceal masses, even when presenting atypically.

Keywords:
Michaelis–Gutmanncecal massmalakoplakia

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Area of Science:

  • Gastroenterology
  • Pathology

Background:

  • Malakoplakia is a rare inflammatory condition characterized by macrophages with Michaelis-Gutmann bodies.
  • It commonly affects the genitourinary tract but can occur in other sites, including the gastrointestinal tract.

Observation:

  • This report details a unique case of appendiceal malakoplakia that mimicked a cecal mass.
  • The patient presented with symptoms suggestive of a cecal malignancy.

Findings:

  • Histopathological examination confirmed appendiceal malakoplakia, a finding not previously reported as a cecal mass mimic.
  • The pathogenesis and clinical significance, including potential links to malignancy, remain poorly understood.

Implications:

  • This case underscores the need for thorough histopathological evaluation of appendiceal masses to avoid misdiagnosis.
  • Further research is needed to clarify the role of malakoplakia in the context of gastrointestinal masses and guide appropriate surveillance strategies.