Related Experiment Videos
Benign lymphoid hyperplasia manifesting as a cecal mass: report of a case
Diseases of the Colon and Rectum
|October 1, 1978
Insights
Benign lymphoid hyperplasia can cause cecal deformity in adolescents, potentially due to appendiceal orifice blockage. Colonoscopy can aid diagnosis and observation, possibly preventing unnecessary surgeries.
Area of Science:
- Pediatric Gastroenterology
- Surgical Pathology
Background:
- Benign lymphoid hyperplasia (BLH) is a reactive condition.
- It can occur in various gastrointestinal sites, including the cecum.
- Cecal presentations are less common, especially in pediatric cases.
Observation:
- A 15-year-old male presented with symptoms suggestive of a cecal abnormality.
- Imaging revealed a cecal deformity.
- The deformity was suspected to be caused by partial occlusion of the appendiceal orifice.
Findings:
- The resected specimen showed features consistent with benign lymphoid hyperplasia.
- Histopathological examination confirmed BLH of the cecum.
- The patient's symptoms resolved post-operatively.
Implications:
- This case highlights an unusual presentation of BLH in a pediatric patient.
- Colonoscopy may serve as a valuable diagnostic tool for BLH.
- Endoscopic surveillance could potentially prevent unnecessary surgical interventions for BLH in children and young adults.
Abstract:
We have presented an unusual case of benign lymphoid hyperplasia, which manifested as a cecal deformity in a 15-year-old boy. The clinical manifestation may have been related to partial occlusion of the appendiceal orifice. In future cases of benign lymphoid hyperplasia, colonoscopy may be diagnostic, and if it is used for continuing observation, may avert unnecessary surgical procedures in children and young adults.