Non-inflamed appendix with LAMN causing closed-loop small bowel obstruction

Introduction: Low grade appendiceal mucinous neoplasms are generally encountered incidentally in appendicectomies for suspected appendicitis. This case is a documentation of rare occurrence LAMN presenting with small bowel obstruction. Case Report: An 83-year-old male presented to the Emergency Department three day history nausea, vomiting, and obstipation profoundly dehydrated. Computed tomography revealed high obstruction 2 transition points right iliac fossa, concerning closed loop obstruction, necessitating an urgent laparotomy. Conclusion: While acute appendicitis common cause emergency abdominal pathology, when coupled neoplastic should be considered as part differential diagnosis.