Generous lone cecal ulcer

Single ulcers in the digestive organ infrequently include the cecum. Here, we present pictures from a 72-year-elderly person who was conceded with 10 h of hematochezia with stable imperative signs and hemoglobin of 11.5 g/dL. Colonoscopy after lavage uncovered a level ulcerated injury in the cecum with yellowish exudate at the base and sporadic edges inverse to the ileocecal valve (Fig. 1a). There was no dynamic dying. Stomach processed tomography check uncovered concentric divider thickening and luminal narrowing in the cecum proposing neoplasm (Fig. 1b). In spite of the fact that biopsies were accounted for as granulation tissue in colonic mucosa, right hemicolectomy was performed. Intraoperative discoveries demonstrated a 2.5 cm × 2.5 cm cecal mass penetrating the subserosa with omental grip. The careful example was accounted for as favorable single ulcer of the cecum. Benevolent cecal ulcer is hard to analyze preoperatively, and colonoscopy with biopsy permits moderate administration [1], however in the event that there are confusions (gastrointestinal dying) or doubt of about neoplasm, at that point medical procedure is shown to arrive at an authoritative determination [2].

• Dr Julian Ong, Singapore