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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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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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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:
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The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
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Updated: Oct 26, 2025

Structured Approach to Colonoscopy Technique Optimization: A Single-Center Experience with Novice Endoscopists
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Appendicitis: a rare adverse event in colonoscopy.

Samer Al-Dury1, Mohammad Khalil2, Riadh Sadik3,4

  • 1Department of Medicine, Gastroenterology and hepatology unit, Sahlgrenska University Hospital, Gothenburg, Sweden samer.al-dury@gu.se.

BMJ Case Reports
|July 27, 2021
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A woman with perforated appendicitis developed new appendicitis symptoms after a colonoscopy. This rare complication highlights the need for endoscopists to consider appendicitis in post-procedure abdominal pain.

Keywords:
endoscopygastrointestinal surgery

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Area of Science:

  • Gastroenterology
  • Surgical Case Reports

Background:

  • Appendicitis is a common surgical emergency.
  • Conservative management of perforated appendicitis with abscess is sometimes employed.
  • Colonoscopy is a routine diagnostic procedure.

Observation:

  • A 41-year-old woman with a history of perforated appendicitis and abscess formation, treated conservatively, presented with recurrent right lower quadrant pain and fever 12 hours post-colonoscopy.
  • Initial colonoscopy was unremarkable, but a follow-up CT scan three months prior showed healed appendicitis with terminal ileum thickening.
  • Physical examination and blood work post-colonoscopy were consistent with acute appendicitis.

Findings:

  • Laparoscopic appendectomy was performed, revealing acute appendicitis.
  • The patient experienced a rapid recovery following the appendectomy.
  • The exact cause of the recurrent appendicitis (de novo vs. exacerbation) remains undetermined.

Implications:

  • This case suggests a potential rare complication where colonoscopy may trigger or exacerbate appendicitis.
  • Endoscopists should maintain a high index of suspicion for appendicitis in patients presenting with abdominal pain after colonoscopy.
  • Awareness of this potential association is crucial for accurate diagnosis and timely management of post-colonoscopy abdominal pain.