HYPERPLASIC POLYP IN APPENDIX OSTIUM MANIFESTING ACUTE APPENDICITIS: CASE REPORT

• DOI: 10.22533/at.ed.1592242215058

• Palavras-chave: 1. Appendicitis; 2. Laparoscopy; 3. Colon Polyps; 4. Intestinal Polyps

• Keywords: 1. Appendicitis; 2. Laparoscopy; 3. Colon Polyps; 4. Intestinal Polyps

• Abstract:

  Acute appendicitis represents one of the main causes of acute abdomen and, consequently, of patients operated on an urgent/emergency basis. Its pathophysiology is based on the obstruction of its lumen that triggers subsequent events until its perforation. The etiologies of obstruction range from the presence of appendicolite/fecalite to compression by neoplasms, which are much rarer. There are few cases described in which there was a hyperplastic polypoid lesion as the cause of appendicular ostium obstruction. In this report, the patient developed abdominal pain, with pain migration to the iliac fossa region and right flank. She underwent an abdominal tomography that showed tenuous parietal thickening near the cecum and colonoscopy, with a finding of protrusion of the cecum mucosa, close to the appendicular ostium. The surgery was initially performed using the videolaparoscopic approach, later converted to an open approach, to ensure the margin of the lesion. The biopsy showed a hyperplastic polyp as the etiology of the inflammatory/infectious condition of the appendix. 

• Número de páginas: 9