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Case Reports in Medicine
Volume 2012, Article ID 523708, 2 pages
http://dx.doi.org/10.1155/2012/523708
Case Report

Incidental Diagnostic and Treatment of a Suppurative Appendicitis at Colonoscopy

Gastroenterology Department, Military Universitary Hospital of Oran, 156 Khemisti, Oran, Algeria

Received 8 April 2012; Accepted 11 May 2012

Academic Editor: Gianfranco D. Alpini

Copyright © 2012 Mohammed Amine Benatta. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We herein report a patient with acute appendicitis who was diagnosed by colonoscopy: a 54-year-old woman with normal physical examination and laboratory results within normal limits. The case had shown an erythematous and edematous bulging polypoid lesion with purulent discharging from appendiceal orifice into the cecum. At colonoscopy, appendix appeared as an erythematous and edematous bulging polypoid lesion with purulent discharging from appendiceal orifice into the coecum. Surgeons exclude any emergency. Two weeks later, a colonoscopic second look was performed, and the same bulging polypoid lesion was found but without spontaneous purulent discharging. Appendiceal endoscopic pus drainage was then performed.