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January 1955

PSEUDOTUMOR OF CECUM: A Postappendectomy Finding

Author Affiliations

Nashville, Tenn.
From the Department of Surgery, Baptist Hospital.

AMA Arch Surg. 1955;70(1):136-139. doi:10.1001/archsurg.1955.01270070138024

THE CLINICAL and roentgenological significance of deformities of the cecum due to various operative procedures has not been given much consideration as evidenced by the few reports found in the literature. This report is concerned with the deformity produced by the inverted appendiceal stump and the problem of differential diagnosis of polypoid filling defects of the cecum.

The inverted stump of the vermiform appendix may persist for some time as a bulbous mass protruding into the cecal lumen and may appear in the roentgenologic examination as a small, rounded, or ovoid intraluminal filling defect at the usual site of the base of the appendix.* Artner,1 in 1929, and Malbin,6 in 1947, performing postmortem appendectomies on autopsy specimens, were able to reveal polypoid lesions in the cecum by means of barium x-ray studies and showed these x-ray findings to be due to the inverted stumps of the appendices. Artner

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