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A 60-year-old man with a history of colonic adenoma underwent routine surveillance colonoscopy. He has been asymptomatic. At colonoscopy, there was adherent mucus identified at the base of the caecal pole (figure 1A). The adherent mucus covered the appendiceal orifice (figure 1B). A CT scan of the abdomen revealed no abnormality.
What is the most likely diagnosis and management?
Adherent mucus at appendiceal orifice should alert the endoscopist to suspect appendiceal mucinous neoplasm (appendiceal …
Contributors JB involved in the preparation of manuscript and JMH provided case and review of manuscript to be published.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.