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Acute appendicitis after colorectal endoscopic mucosal resection: a case report
Yu Liu1,2, Hui Wang1, Xiao-Yi Yin3
1Department of Gastroenterology, Jingling Hospital, Medical School of Nanjing University, Nanjing, China.
The Journal of International Medical Research
|May 16, 2022
Summary
Endoscopic mucosal resection (EMR) can rarely lead to appendicitis. Careful monitoring of patients with abdominal pain after colorectal EMR is crucial, especially if a fecalith is suspected.
Area of Science:
- Gastroenterology
- Surgical Procedures
Background:
- Endoscopic mucosal resection (EMR) is a widely used endoscopic technique for resecting gastrointestinal lesions.
- While generally safe, EMR carries a risk of rare complications.
- Appendicitis is an uncommon complication following colorectal EMR.
Observation:
- A patient presented with severe abdominal pain post-colorectal EMR.
- The patient was diagnosed with acute appendicitis.
Findings:
- The patient successfully recovered after surgical intervention for appendicitis.
- This case highlights a rare but serious complication of colorectal EMR.
Implications:
- Post-EMR abdominal pain warrants careful evaluation to rule out appendicitis.
- Close observation during oral intake resumption is recommended for patients experiencing postoperative abdominal pain.
- Particular vigilance is needed for patients with pre-existing fecaliths near the appendix or colon.
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