Year 2025 / Volume 117 / Number 9
Letter
An unusual cecal submucosal mass in an elderly gentleman

538-539

DOI: 10.17235/reed.2024.10606/2024

Qianqian Li, Weiwei Chen, Lei Chen, Zhen Zhu,

Abstract
A 60-year-old male with previous hypertension was hospitalized because colonoscopy revealed a cecal submucosal mass during a community health examination 1 month previously. The patient has no symptoms such as poor appetite, fatigue, abdominal pain, diarrhea, nausea and vomiting. Laboratory tests and physical examination was unremarkable. A protrusion with multiple superficial small ulcers on the smooth surface measuring 1.5 × 2.0 cm was found beside the appendiceal orifice by colonoscopy. Abdominal computed tomography demonstrated a high-density mass without enhancement protruding towards the ileocecal cavity at the appendiceal orifice measured 1.5 × 1.8 cm. Laparoscopic ileocecal resection was performed because an appendiceal tumor could not be excluded and the patient strongly requested it. Pathology examination of the postoperative specimen revealed dilated appendix cavity with a fecalith inside the submucosal layer of the ileocecal region. The patient was diagnosed with an appendiceal orifice submucosal fecalith. He was discharged home uneventfully and no symptoms were observed during 3 months follow-up.
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References
1.Alaedeen DI, Cook M, Chwals WJ. Appendiceal fecalith is associated with early perforation in pediatric patients. J Pediatr Surg. 2008;43(5):889-892. DOI: 10.1016/j.jpedsurg.2007.12.034
2.Podda M, Di Saverio S, Agresta F, et al. Endoscopic retrograde appendicitis therapy: the true proof of the pudding is in the eating. Gastrointest Endosc. 2020;92(6):1278-1279. DOI: 10.1016/j.gie.2020.07.016
3.Zhang DG, Lin QL, Wang L. Pseudo-submucosal tumor in the colon: seeing is believing. Rev Esp Enferm Dig. 2024;116(3):177-178. DOI: 10.17235/reed.2023.9773/2023.
4.Chen L, Zheng L, Chen Z, et al. Application of rubber band and clip traction for removal of a submucosal fecalith mimicking a submucosal tumor of the appendix under colonoscopy. Endoscopy. 2023;55(S01):E835-E836. DOI: 10.1055/a-2106-0768
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Li Q, Chen W, Chen L, Zhu Z. An unusual cecal submucosal mass in an elderly gentleman. 10606/2024


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Publication history

Received: 20/06/2024

Accepted: 24/06/2024

Online First: 11/07/2024

Published: 15/09/2025

Article Online First time: 21 days

Article editing time: 452 days


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