Abstract
A 42-year-old female with chronic appendicitis clinically presenting with sigmoid stricture is described. A barium enema demonstrated a solitary 6 cm length of concentric narrowing in the distal sigmoid colon. Colonoscopy revealed a luminal narrowing in the sigmoid colon with normally appearing mucosa, and the scope could not be advanced through the stricture. In spite of conservative therapy for several weeks, the patient continued to have abdominal pain. At laparotomy, an atrophic appendix adhering to the retroperitonenum was found, and a large inflammatory mass was present in the pelvic space involving the distal sigmoid colon, ileum, and right adnexa. Distal sigmoidectomy and appendectomy were performed. The patient had an uneventful postoperative course. The surgical specimen showed the sigmoid stricture secondary to appendicitis. When there is no way to rule out the diagnosis of malignancy for colon stricture, surgical treatment must be considered.
