Caecal mass on barium enema study--a case for routine colonoscopy.
Prolapse of the ileal mucosa through the ileo-caecal valve or minor ileo-caecal intussuception is not uncommon and may occasionally be mistaken radiologically for a caecal neoplasm, especially if intestinal obstruction, abdominal pain or rectal bleeding is present. Colonoscopic visualisation and biopsy is important before surgery is advised. We describe a case of ileal mucosa prolapse masquerading as a caecal neoplasm on barium enema study. Colonoscopy showed prolapse of the ileal mucosa which was easily reduced by air insufflation and therefore unnecessary surgery was avoided.
Eu
K W
KW
Department of Colorectal Surgery, Singapore General Hospital.
Seow
C
C
Goh
H S
HS
D000328:Adult; D001464:Barium; D003113:Colonoscopy; D003937:Diagnosis, Differential; D006801:Humans; D006965:Hyperplasia; D007077:Ileal Diseases / Q000000981:diagnostic imaging* / Q000473:pathology; D007080:Ileocecal Valve / Q000000981:diagnostic imaging*; D007327:Insufflation; D007413:Intestinal Mucosa / Q000473:pathology; D007443:Intussusception / Q000000981:diagnostic imaging*; D008297:Male; D011391:Prolapse; D011859:Radiography
D001464:Barium