Abstract
INVERTED appendiceal stump is part of the differential diagnosis of a radiologically demonstrated cecal mass in patients after appendectomy. We report the colonoscopic removal of an inverted appendiceal stump employing standard snare and electrocautery technique. Of special interest, the appendiceal stump was invaded by unusual fungi producing an ulcerated-granulomatous inflammatory reaction. Report of a Case A 23-year-old man was admitted with a ten-month history of intermittent right lower quadrant abdominal pain occasionally associated with black, tarry stools. On the day of admission, after ingestion of considerable alcohol, the patient had severe epigastric pain and hematemesis. Past medical history included recurrent calcium and uric acid nephrolithiasis for six years and an appendectomy one year ago. The latter was uneventful with complete recovery. The physical examination was unremarkable except for mild epigastric and right lower quadrant tenderness, an appendectomy scar, and guaiac-positive stools. The complete blood cell count, ESR, and multiphasic profile
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