Abstract
A 28-year-old man was diagnosed with ulcerative colitis at 16-years-old and has been followed by a general practitioner. Right hypochondoralgia developed, and he was diagnosed with appendix cancer with multiple liver metastases. Surveillance of ulcerative colitis is important to indentity colitic cancer. However, detecting changes of the appendix is difficult. We recommend taking into account appendix cancer to identity early-stage tumors using colonoscopy.