Keimyung Med J.
2024 Jun;43(1):73-77. 10.46308/kmj.2023.00206.
Acute Suppurative Appendicitis Following Screening Colonoscopy
- Affiliations
-
- 1Department of Internal Medicine, Keimyung University Daegu Dongsan Hospital, Daegu, Korea
- 2Department of General Surgery, Keimyung University Daegu Dongsan Hospital, Daegu, Korea
- KMID: 2556376
- DOI: http://doi.org/10.46308/kmj.2023.00206
Abstract
- There has been a significant increase in the number of colonoscopies being performed worldwide. Moreover, post-colonoscopy appendicitis is a rare phenomenon, with limited clarity about its pathogenesis. Herein, we discuss the case of 41-year-old female patient, who underwent forceps biopsy polypectomy and cold snare polypectomy during a colonoscopy for a routine check-up. However, 6 h later she experienced episodes of lower abdominal pain and vomiting, subsequently diagnosed as acute appendicitis upon revisit. The patient afterwards underwent laparoscopic appendectomy in the general surgery department. There is a significant lack of knowledge regarding the mechanism of occurrence and predisposing factors associated with post-colonoscopy acute appendicitis; however, if a patient exhibits clear symptoms and a typical course of pain, active exploration for appendicitis can be considered, even shortly after undergoing colonoscopy.
