Don't mistake it as a polyp!

A middle-aged woman first presented with vague abdominal symptoms of bloatedness and change in bowel habits. Physical examination was otherwise unremarkable. A colonoscopic evaluation was performed, which demonstrated a possible appendiceal mass (figure 1). A CT scan of the abdomen and pelvis was performed, which confirmed the bulky appendix (figure 2). Figure 1 Prominent appendiceal orifice, ileocecal valve. Figure 2 Bulky appendix exiting from the caecum. In view of the indeterminate nature of the lesion and inability to rule out an underlying neoplastic process, the patient …