IDCases (Jan 2023)

Caecal Ameboma, colorectal malignancy mimicker in young male with ANCA-associated vasculitis

  • Ali Al Lawati,
  • Masoud Kashoub,
  • Ibrahim Al Busaidi,
  • Jawahir lal,
  • Haitham Mohamed ElBingawi,
  • Mohamed Mohamed Osman

Journal volume & issue
Vol. 31
p. e01649

Abstract

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Ameboma refers to the rare development of an inflammatory, ulcerated, exophytic mass in the gastrointestinal tract that can resemble carcinoma. Typically it presents as a right lower quadrant abdominal mass, Patients may also present with diarrhea or constipation and associated systemic symptoms, including weight loss and fever. In this article we present a young man with a background of ANCA associated vasculitis, who presented with fresh lower gastrointestinal bleeding during hospital admission for severe covid-19 pneumonia which turned out to be caecal aemboma. This case is highlighted for its rarity, the diagnostic challenge, and for the major role of colonoscopy as a diagnostic tool for this pathology.

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