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Gut 2004;53:1063; doi:10.1136/gut.2003.034009
Copyright © 2004 BMJ Publishing Group Ltd & British Society of Gastroenterology.
Gut 2004;53:1063
© 2004 by BMJ Publishing Group Ltd & British Society of Gastroenterology

EDITOR'S QUIZ: GI SNAPSHOT

A calcified caecal mass

A Hokama1, T Makishi1, R Tomiyama1, F Kinjo1, A Saito1, S Yamashiro2, I Kinjo2, K Miyagi2, Y Kuniyoshi2, K Koja2

1 First Department of Internal Medicine, University of the Ryukyus, Okinawa, Japan
2 Second Department of Surgery, University of the Ryukyus, Okinawa, Japan

Correspondence to:
Correspondence to:
Dr A Hokama
First Department of Internal Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, Japan; hokama-a@med.u-ryukyu.ac.jp

Keywords: appendix; mucocele; colonoscopy; computed tomography; cystadenoma

The first 100% of the full text of this article appears below.

Clinical presentation

A 64 year old woman with a history of Bentall operation and maintenance haemodialysis due to multiple myeloma presented with a positive faecal occult blood test. She denied abdominal symptoms. Physical examination was unremarkable. Leucocytosis was absent. Colonoscopy showed a globular submucosal tumour with the appendiceal orifice (arrow) on its top (fig 1Go). Computed tomography demonstrated a cystic lesion with "eggshell"-like mural calcification (arrow) in the expected region of the appendix (fig 2Go).


 


 

Question

What is the diagnosis?

See page 1081 for answer

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EDITOR’S QUIZ: GI SNAPSHOT
Gut 2004 53: 1081. [Extract] [Full Text] [PDF]

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