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The iatrogenic caecal polyp: can it be avoided?

Waterland, Peter and Khan, Faisal Shehzaad (2015) The iatrogenic caecal polyp: can it be avoided? BMJ Publishing Group. This article is accessible to all HEFT staff and students via NICE journals and databases http://www.nice.org.uk/about/what-we-do/evidence-services/journals-and-databases by using their HEFT Athens login IDs.

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Official URL: http://casereports.bmj.com/content/2015/bcr-2015-2...

Abstract

A 60-year-old farmer was admitted with symptoms and signs suggestive of appendicitis. The diagnosis was confirmed at open appendicectomy where the appendix base was ligated and inverted into the caecum with a purse-string suture. Following an uneventful recovery and discharge, a barium enema identified a 2 cm filling defect in the caecal pole. A subsequent colonoscopy revealed only a tiny sessile polyp in the caecum with histology demonstrating normal colonic mucosa. This case report discusses the rare occurrence of an inverted appendix stump mimicking caecal pathology and the rationale of post-appendicectomy colonic investigation in the elderly patient.

Item Type: Other
Additional Information: This article is accessible to all HEFT staff and students via NICE journals and databases http://www.nice.org.uk/about/what-we-do/evidence-services/journals-and-databases by using their HEFT Athens login IDs.
Subjects: WO Surgery
Divisions: Planned IP Care > General Surgery
Related URLs:
Depositing User: Miss Adele Stanton
Date Deposited: 01 Jul 2015 13:59
Last Modified: 01 Jul 2015 13:59
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/998

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