Liberal single cecal ulcer

Single ulcers in the stomach related organ conflictingly fuse the cecum. Here, we present pictures from a 72-year-more seasoned person who was given up with 10 h of hematochezia with stable essential signs and hemoglobin of 11.5 g/dL. Colonoscopy after lavage uncovered a level ulcerated physical issue in the cecum with yellowish exudate at the base and unpredictable edges inverse to the ileocecal valve (Fig. 1a). There was no remarkable kicking the pail. Stomach took care of tomography check uncovered concentric divider thickening and luminal narrowing in the cecum proposing neoplasm (Fig. 1b). Despite how biopsies were spoken to as granulation tissue in colonic mucosa, right hemicolectomy was performed. Intraoperative disclosures demonstrated a 2.5 cm × 2.5 cm cecal mass entering the subserosa with omental handle. The careful model was spoken to as positive single ulcer of the cecum. Huge hearted cecal ulcer is hard to separate preoperatively, and colonoscopy with biopsy licenses moderate association [1], at any rate if there are confusions (gastrointestinal failing horrendously) or vulnerability of about neoplasm, by then clinical strategy is seemed to appear at a complete confirmation [2].

• Dr Julian Ong, Singapore