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Miscellaneous
A calcified caecal mass
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  1. A Hokama1,
  2. T Makishi1,
  3. R Tomiyama1,
  4. F Kinjo1,
  5. A Saito1,
  6. S Yamashiro2,
  7. I Kinjo2,
  8. K Miyagi2,
  9. Y Kuniyoshi2,
  10. K Koja2
  1. 1First Department of Internal Medicine, University of the Ryukyus, Okinawa, Japan
  2. 2Second Department of Surgery, University of the Ryukyus, Okinawa, Japan
  1. Correspondence to:
    Dr A Hokama
    First Department of Internal Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, Japan; hokama-amed.u-ryukyu.ac.jp

http://dx.doi.org/10.1136/gut.2003.034009

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    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 1). Computed tomography demonstrated a cystic lesion with “eggshell”-like mural calcification (arrow) in the expected region of the appendix (fig 2).

    Figure 1
    Figure 1

     Colonoscopy showing a globular submucosal tumour with the appendiceal orifice (arrow) on its top.

    Figure 2
    Figure 2

     Computed tomography demonstrating a cystic lesion with “eggshell”-like mural calcification (arrow) in the expected region of the appendix.

    Question

    What is the diagnosis?

    See page 1081 for answer

    This case is submitted by:

    Footnotes

    • Robin Spiller, Editor

    Linked Articles

    • Miscellaneous
      EDITOR’S QUIZ: GI SNAPSHOT
      BMJ Publishing Group Ltd and British Society of Gastroenterology
      Gut 2004; 53 1081-1081 Published Online First: 09 Jul 2004.