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Asymptomatic Systemic Mastocytosis Uncovered During Routine Colonoscopy: A Case Report
Amina Sara Matmatte1, Dharaneswari Hari Narayanan1, Twan Sia2
1Gastroenterology, Allergy, and Immunology, Boston Specialists, Boston, USA.
Systemic mastocytosis can present atypically and be found incidentally during routine colonoscopies. This case underscores the importance of detailed histopathological analysis for subtle endoscopic findings.
Area of Science:
- Gastroenterology
- Oncology
- Hematology
Background:
- Systemic mastocytosis (SM) is a rare disorder characterized by abnormal mast cell proliferation.
- While often symptomatic, SM can present atypically, posing diagnostic challenges.
Observation:
- A 66-year-old asymptomatic female was incidentally diagnosed with systemic mastocytosis during a routine colonoscopy.
- Subtle abnormalities noted during the endoscopic procedure prompted further investigation.
Findings:
- The incidental diagnosis highlights the diverse clinical spectrum of systemic mastocytosis.
- Histopathological examination of endoscopic biopsies was crucial for confirming the diagnosis.
Implications:
- This case emphasizes the diagnostic value of colonoscopy in detecting unexpected systemic diseases.
- Routine endoscopic procedures require meticulous histopathological evaluation, even in asymptomatic patients with subtle findings.
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