Bibi S, Gollapalli V* and Gilchrist B
Department of Surgery, Bronx-Lebanon Hospital, New York, USAFulltext PDF
Background: Appendicular adenomatous lesions are rare, mostly diagnosed on pathology postoperatively. The clinical outcomes of this condition have yet to be determined. We reviewed out clinical experience with a series of such cases which was never reported in the recent times.Case
Presentation: 5 cases of appendicular adenomatous lesions which were managed at Bronx Lebanon Hospital Center (BLHC) department of surgery between 2007-2014 are included. Mean age was 55 years (48-76 years), 2 female and 3 male patients. Two patients required diagnostic colonoscopy for bleeding per rectum and were found to have appendicular lesions. Two patients were found to have lesions on screening colonoscopy. One presented with acute appendicitis. Two patients underwent standard appendectomy, one required appendectomy with partial cecectomy, one required right hemicolectomy whereas one underwent colonoscopic polypectomy. No postoperative complications were observed in patients who underwent surgery. On the mean follow up of 8 months, no synchronous malignant lesion was found. Two cases had synchronous cecaladenomatous polyp and one case had sigmoid hyper plastic polyp.Conclusion: Appendicular adenomatous polyps can have variable presentations especially in the era of screening colonoscopy. Endoscopic resection and surgical removal is based on the histological nature and completion of resection.
Adenoma; Appendix; Villous adenoma; Serrated adenomas screening colonoscopy
Bibi S, Gollapalli V, Gilchrist B. Appendicular Adenomatous Polyps: Variability in Clinical Presentation and Management. Clin Surg. 2017; 2: 1381.