Melanosis of The Appendix Presenting with the Clinic of Acute Appendicitis
Journal Title: Turkish Journal of Colorectal Disease - Year 2020, Vol 30, Issue 1
Abstract
Laxative drugs are frequently used for chronic constipation. The chronic use of laxatives, which contain anthraquinone, mostly causes melanosis coli. A 57-year-old male patient with a history of diabetes mellitus and coronary artery disease, had long-term laxative use due to chronic constipation. The patient was admitted to the emergency service with the complaint of inflammatory abdominal pain that started in the epigastric region one day ago and migrated to the right lower quadrant. During the physical examination, right lower quadrant tenderness and rebound were positive. Imaging examinations and physical examination were consistent with acute appendicitis. The patient underwent an appendectomy via Mc Burney incision under general anesthesia. The postoperative follow-up period was complication-free and the patient was discharged on the second postoperative day. Postoperative specimen pathology was reported as an appendix with melanosis coli findings. The incidence of melanosis coli increases with the chronic use of laxative drugs. Although melanosis coli is seen as a benign disease, there are no accurate data about whether it increases the risk of colon cancer and the incidence of acute appendicitis.
Authors and Affiliations
Semra Demirli Atıcı, Tayfun Kaya, Emran Kuzey Avcı, Sümeyye Ekmekçi, Cengiz Aydın
Keywords
Related Articles
- EP ID EP684925
- DOI 10.4274/tjcd.galenos.2019.2019-7-5
- Views 177
- Downloads 0
Midgut Nonrotation in an Adult Patient and Ladd’s Procedure
Midgut malrotation is a congenital anomaly that usually occurs during infancy. The most common type is the “classic” form, which is defined as complete failure of rotation of both proximal (duodenojejunal limb) and dista...
Getting Better in Open Abdomen Surgery
No summary
Malignant Fibrous Histiocytoma: A Rare Cause of Rectal Mass
Malignant fibrous histiocytoma is a type of soft tissue sarcoma that originates from mesenchymal tissues and that mostly affects extremities. Abdominal malignant fibrous histiocytoma usually has a poor prognosis and is r...
Sentinel Lymph Node Mapping in Colon Cancer Patients: Does Make A Sense?
Aim: Lymph node status in colon cancer (CC) is a major prognostic factor that determines the disease recurrence, survival, and the adjuvant treatment. Although sentinel lymph node (SLN) is an effective technique that imp...
Evalution of the Patients with Colon Polyps in Terms of Helicobacter pylori with Sydney Criteria
Aim: Colorectal cancer (CRC) is one of the leading three cancers with high mortality. Colon polyps are precursors for CRC development. Helicobacter pylori is known to increase the risk of gastric cancer by intestinal met...