ArticleJournal of surgical case reports2025
Incidental low-grade appendiceal mucinous neoplasm in Crohn's disease patient post ileocecal resection: a case report.
Article in Journal of surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Appendiceal mucinous neoplasm is a rare tumor, found in 0.2%-0.3% of appendectomies. Inflammatory bowel disease (IBD) is a known risk factor for colorectal cancer; however, appendiceal mucinous neoplasm is rarely reported in IBD patients. Here we report a rare case in a patient with Crohn's disease after ileocecal resection. She complained of recurrent, severe right lower quadrant pain. Further investigation revealed stenosis at the terminal ileum with a clear appendiceal orifice on magnetic resonance enterography and colonoscopy. She was referred for surgical evaluation after failure of medical management. The diagnosis of low-grade appendiceal mucinous neoplasm was confirmed by pathology after an uneventful laparoscopic ileocecal resection. Although this tumor is rare in IBD patients, a high index of suspicion is needed in those presenting with disease flare-ups, and pathological examination remains essential for diagnosis. This case underscores the diagnostic challenges and clearly highlights the importance of thorough evaluation.
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