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Ascending Colon Stenosis:A Rare Presentation of Perforated Appendicitis
Author(s) -
KAKEI Nobuyuki,
MIKI Kazumasa,
KIMURA Masayoshi,
ICHINOSE Masao,
HOSHINO Etsuo,
SANO Junjiro,
KAWAMURA Norio,
TASHIRO Takao,
MATSUSHIMA Masashi,
KUROKAWA Kiyoshi,
HASHIMOTO Daijo,
IDEZUKI Yasuo
Publication year - 1989
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/j.1443-1661.1989.tb00037.x
Subject(s) - ascending colon , medicine , cecum , barium enema , stenosis , appendicitis , abscess , laparotomy , appendix , sigmoid colon , descending colon , hemicolectomy , radiology , abdominal pain , rectum , surgery , colonoscopy , colorectal cancer , paleontology , cancer , biology
: Described is a 49‐year‐old Japanese male who developed an ascending colon stenosis secondary to perforated appendicitis. The patient was examined at our hospital because of an abdominal pain and the presence of a firm mass in the right flank. A barium enema and colonoscopic examination revealed an ascending colon stenosis with multiple nodular elevations. On laparotomy, an inflammatory mass, originating from a ruptured appendix, was found adhered to the cecum and the ascending colon. Thus, a right hemicolectomy was performed. Microscopic examination revealed a periappendiceal abscess with marked submucosal fibrosis and lymphoid hyperplasia of the ascending colon and cecum . Large intestinal stenosis is a rare complication of appendicitis, and there have been only a few reported cases involving the ascending and sigmoid colon, and the rectum. In these cases, however, the polypoid lesions as seen in our case have never been described. In reviewing the literature, we found only two other cases in which a coarse or a polypoid lesion, similar to our case, was noted in the cecum, though the mucosal change was localized and luminal stenosis did not occur. Thus, when a patient with an ascending colon stenosis is encountered, a possibility of periappendiceal abscess must be kept in mind .