The lymphocyte number was higher, collagenonous colitis and signs of IBD
were excluded. Immunological findings were normal. Parasite or other infectious (incl. CMV, yersinia) disesase were exluded. Prednison 40 mg daily and 5-ASA 2, 4 g PLX-4720 nmr daily were started. The symptom disappeared completely within 2 months and mesalasine was discontinued. The corticosteroids were tapered. After 6 months the endoscopic and histopatologic findings were normalized. Results: Images: Figure-1 Figure-2. Conclusion: This case suggests that microscopic colitis might rarely present with endoscopic finding which mimics other GI disease. Key Word(s): 1. endoscopy; 2. lymphocytic colitis; 3. ulceration Presenting Author: DANNY JR. YAP Additional Authors: EVELYN DY, MANLEY UY, KRISTIAN PATRICK CHAN, SOPHIA ZAMORA, JOHN PAUL MALENAB, MA. FATIMA SABATEN Corresponding Author: DANNY JR. YAP Affiliations: Manila Doctors Hospital, Manila Doctors Hospital, Manila Doctors Hospital,
Manila Doctors Hospital, Manila Doctors Hospital, Manila Doctors Hospital Objective: 1. To present a case of appendiceal intussusception and hamartomatous polyp of the appendix in a 64 year old female. 2. To review the management of appendiceal intussusception. Methods: Appendiceal intussusception is an extremely rare condition with a prevalence of 0.01%. Approximately 200 cases of appendiceal GDC-0973 in vivo intussusception have been reported in the surgical literature, but very few have ever been diagnosed preoperatively. The mechanism and pathogenesis of intussusception of the appendix is divided into anatomical and pathological causes. Clinical manifestations
of appendiceal intussusception are non specific. Tumors of the MCE公司 appendix are uncommon and most tumors are benign. Hamartoma of the appendix is an extremely rare condition. Most cases of hamartoma in the gastrointestinal tract have been found in patients who had been suffering from Peutz-Jeghers syndrome. Appendiceal hamartomatous polyp in the absence of Peutz-Jeghers syndrome has been reported only in two cases and even in those patients with Peutz-Jeghers syndrome, appendiceal hamartomatous polyps has been reported only in a few studies. To the best of our knowledge, this is the first case of appendiceal intussusception secondary to a hamartomatous polyp. It is important that an intussuscepted appendix is managed appropriately. These lesions may be misinterpreted as a broad-based cecal polyp during colonoscopy, and subsequent endoscopic resection may result in unexpected complications, such as perforation and peritonitis. In those cases uninvolved by a concurrent malignant tumor, reduction at laparotomy or laparoscopy with subsequent appendicectomy, or right hemicolectomy is the surgical treatment of choice.
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