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A Rapid Development of Post-Colonoscopy Appendicitis within Twelve Hours: A Case Report
Sean-Patrick Prince1, Qitan Huang2, Denisse Camille Dayto2
1Holy Cross Health, University of Miami, Coral Gables, FL, USA.
Case Reports in Gastroenterology
|July 17, 2024
Summary
Post-colonoscopy appendicitis (PCA) is a rare complication, but its incidence is rising with increased colonoscopy use. This case highlights the importance of considering PCA in patients with abdominal pain after a colonoscopy.
Area of Science:
- Gastroenterology
- Surgical Oncology
Background:
- Colon cancer incidence is decreasing due to increased colonoscopy screening.
- This trend suggests a potential rise in colonoscopy-related complications, including post-colonoscopy appendicitis (PCA).
Observation:
- A 77-year-old male presented with acute abdominal pain 12 hours post-colonoscopy.
- Initial CT scans were inconclusive for appendicitis, but the patient's condition worsened.
- Laparoscopy revealed a perforated gangrenous appendix and cecal inflammation.
Findings:
- Post-colonoscopy appendicitis (PCA) is a rare complication with an incidence <0.05%.
- Despite nonspecific initial symptoms and imaging, PCA can lead to severe outcomes.
Implications:
- Healthcare providers must maintain a high index of suspicion for PCA in patients with post-procedural abdominal pain.
- Early recognition and intervention are crucial for managing this rare but serious complication.
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