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Don't mistake it as a polyp!
  1. Lim Tian-Zhi1,
  2. Faith Leong Qi Hui1,
  3. Ker-Kan Tan1,2
  1. 1Division of Colorectal Surgery, University Surgical Cluster, National University Health System, Singapore, Singapore
  2. 2Department of Surgery, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
  1. Correspondence to Dr Lim Tian Zhi, University Surgical Cluster, 1E Kent Ridge Road, National University Health System, Singapore 119228, Singapore; tian_zhi_lim{at}nuhs.edu.sg

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CLINICAL PRESENTATION

A middle-aged woman first presented with vague abdominal symptoms of bloatedness and change in bowel habits. Physical examination was otherwise unremarkable. A colonoscopic evaluation was performed, which demonstrated a possible appendiceal mass (figure 1). A CT scan of the abdomen and pelvis was performed, which confirmed the bulky appendix (figure 2).

Figure 1

Prominent appendiceal orifice, ileocecal valve.

Figure 2

Bulky appendix exiting from the caecum.

In view of the indeterminate nature of the lesion and inability to rule out an underlying neoplastic process, the patient …

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