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An Incidental Finding of Suppurative Appendicitis During Colonoscopy

Ayat Idris1, Khalid Al Shamousi1, Ahmed Alwassief1

  • 1Gastroenterotolgy Unit, Department of Medicine, Sultan Qaboos University Hospital, Muscat, OMN.

Cureus
|September 11, 2023
PubMed

Insights

Colonoscopic diagnosis of acute appendicitis is rare. This case highlights documenting an inflamed appendiceal orifice during colorectal cancer screening, leading to surgical intervention.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Colonoscopy is a standard procedure for colorectal cancer screening.
  • Acute appendicitis diagnosis during colonoscopy is exceptionally uncommon.

Observation:

  • A patient undergoing elective colonoscopy for colorectal cancer screening presented with an inflamed appendiceal orifice.
  • Pus projection from the appendiceal orifice was visualized during the endoscopic examination.

Findings:

  • The endoscopic findings were consistent with acute appendicitis.
  • Intra-operative results confirmed the diagnosis.

Implications:

  • This case underscores the importance of recognizing appendiceal abnormalities during colonoscopy.
  • It highlights a rare diagnostic pathway for acute appendicitis.
Keywords:
appendicitisasymptomaticcolonoscopyendoscopysuppurative

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