This polyp was seen in the caecum.
WHAT WOULD YOU DO NEXT?
■ Nothing!
CORRECT!
■ Take a biopsy
INCORRECT!
■ Snare polypectomy
INCORRECT!
■ EMR
INCORRECT!
■ Full thickness resection
CORRECT!
Explanation
Of course this is a normal inverted appendix and there is no need to do anything. However, occasionally there is a mass in the appendix pushing the root back into the caecum. Therefore it may be prudent to have a look at the 'apex' of the caecum to make sure that this is not indented in any way. If it was, or if there is another reason to be suspicious, a CT or an ultrasound would be the next step
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