Mysterious cecal polypoid mass.

Abstract

Department of Medicine, Faculty of Medicine, Kuwait University, Kuwait Correspondence: Mr Firas Kadurei, Faculty of Medicine, Kuwait University, PO Box 24923, Safat 13110, Kuwait. Telephone 965-99046731, fax 965-25338907, e-mail firas@hsc.edu.kw Received for publication November 26, 2012. Accepted November 29, 2012 CASE PRESENTATION A 52-year-old man presented with a longstanding history of recurrent, colicky-like, central abdominal pain. A computed tomography scan of the abdomen revealed a well-defined, hyperdense lesion, 2.5 cm × 2.3 cm in size, with fat density apparent at the ileocecal junction. The patient subsequently underwent a colonoscopy in which a large 2.5 cm × 2.5 cm colonic polypoidal mass was apparent, partially then fully protruding from the ileocecal valve (Figures 1 A and B). The protruded mass was then pulled back to its original position and was no longer visible. A referral to the surgical team was made and the mass was removed laparoscopically. Histopathology demonstrated the mass to be a tubular adenoma of low-grade dysplasia within the terminal ileum.