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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).
Colonoscopy showing a globular submucosal tumour with the appendiceal orifice (arrow) on its top.
Computed tomography demonstrating a cystic lesion with “eggshell”-like mural calcification (arrow) in the expected region of the appendix.
Question
What is the diagnosis?
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Robin Spiller, Editor
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