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Asymptomatic early acute appendicitis initiated and diagnosed during colonoscopy: A case report

Asymptomatic early acute appendicitis initiated and diagnosed during colonoscopy: A case report

作     者:Michelle Petro Anil Minocha 

作者机构:Division of Digestive Diseases University of Mississippi Medical Center Jackson MS 39216 USA 

出 版 物:《World Journal of Gastroenterology》 (世界胃肠病学杂志(英文版))

年 卷 期:2005年第11卷第34期

页      面:5398-5400页

核心收录:

学科分类:1002[医学-临床医学] 100201[医学-内科学(含:心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主  题:Colonoscopy Appendicitis Complications Endoscopy 

摘      要:Colonoscopic diagnosis of asymptomatic early acute appendicitis is exceedingly rare. Although obstruction of common physiologic mechanism of acute appendicitis, all of the previously documented cases in the literature have only shown a patent appendiceal lumen with pus flowing into the cecum. We present the case of a patient undergoing colonoscopy for colorectal cancer evaluation with no abdominal symptoms. An obstructed, swollen appendix was seen. The process was probably initiated during the colonoscopy, documenting perhaps the earliest stage of acute appendicitis for the first time. Endoscopic, CT and microsCOpic documentation of the case is also presented.

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