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The Old Endoscopy Quiz (and Answer) of the Month
September 2000

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Question:


Click on the image to get a magnification!

This lady in her middle age came to a colonoscopy because of diffuse stomach trouble and nausea, probably partly related to a chronic headache. Some thirty years ago a prophylactic appendicectomy had been performed during a gynecological operation. This is the finding in the caecum. Histology from the biopsies showed nonspecific colitis. What is this finding?

Answer

A surgically inverted appendix. Appendicectomies were sometimes done in this fashion.

Correct answers were emailed by:

Tomaz Ordonez, Chihuahua, Mexico
Abdon Guerra, San Antonio, Chile
Kathy Jones, Humble, USA
IGNACIO HANNA JAIRALA, GUAYAQUIL, ECUADOR
Ervin Toth, Malmoe, Sweden
Lars G Salde, Lund, Sweden
ME Mosese, Qwaqwa, Republic of of SA
A.Kranz, Vienna, Austria
Terri, Anzio, Italy
Curt Tysk, Orebro, Sweden
Dimofte Gabriel, Iasi, Romania
Rogério Godinho, Barreiro, Portugal
GULSHAN PARASHER MD, Syracuse, NY, US
Kouklakis Georgios, Thessaloniki, Greece
Efthymiou Alkiviadis, Thessaloniki, Greece
Dokas Stefanos, Thessaloniki, Greece
Josep Roure, Girona, Spain
Antonio Sia, Patrocinio(MG), Brazil
Germán Lloret-Salom, Alzira, España

Comments:

Probably an apendiceal stump or an inverted apendix (if this technique was used).Similar images but significantly smaller is a usual finding.

What did they resect? This looks like an everted appendix!? It looks edematous and it should be if it is the appendix because of compromised blood supply. I think the surgeon missed something during that operation thirty years years ago.......

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