Appendiceal Bulge on Routine Colonoscopy: Not All Disease Is Luminal

Sobaan Taj; Usman Ali Akbar; Shawn Philip; Brett Miller; ZakaUl Haq; Harshavardhan Sanekommu; Mohammad A Hossain; Michael Sciarra

doi:10.7759/cureus.35466

Appendiceal Bulge on Routine Colonoscopy: Not All Disease Is Luminal

Cureus. 2023 Feb 25;15(2):e35466. doi: 10.7759/cureus.35466. eCollection 2023 Feb.

Authors

Sobaan Taj¹, Usman Ali Akbar², Shawn Philip³, Brett Miller¹, ZakaUl Haq⁴, Harshavardhan Sanekommu¹, Mohammad A Hossain^{5

1}, Michael Sciarra³

Affiliations

¹ Internal Medicine, Hackensack Meridian Jersey Shore University Medical Center, Neptune City, USA.
² Gastroenterology, North Shore University Hospital, Manhasset, USA.
³ Gastroenterology, Hackensack Meridian Palisades Medical Center, North Bergen, USA.
⁴ Internal Medicine, Raritan Bay Medical Center, Perth Amboy, USA.
⁵ Internal Medicine, Hackensack Meridian School of Medicine, Nutley, USA.

Abstract

Appendiceal mucocele is an extremely rare pathology accounting for 0.3-0.7% of all appendiceal pathology. It is characterized by appendiceal lumen dilatation by mucinous secretion collection. Though abdominal imaging and tissue Biopsy aids in diagnosis, suspicion should arise when a slight bulge or protrusion is seen on colonoscopy. We present a case of incidental appendiceal bulge found on a routine colonoscopy to evaluate abdominal pain that led to prompt diagnosis and management of appendiceal mucocele.

Keywords: appendiceal; appendiceal bulge; appendiceal masses; appendiceal mucinous neoplasm; appendiceal mucocele; appendiceal tumors.

Publication types

Case Reports