Adenocarcinoma of the Appendix in Young Men with Acute Appendicitis
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Date
2014-05
Journal Title
Journal ISSN
Volume Title
Publisher
Scientific Research
Abstract
Intoduction: The adenocarcinomas of the appendix are rare tumors of the gastrointestinal truct
that often reveal no clear clinical symptoms and are not diagnosed in time. In this study, we analyze
a rare case of an incidentally discovered adenocarcinoma of the appendix after appendicectomy.
Case presentation: A Greek male patient of 37 years old patient presented to our hospital with
signs of acute appendicitis and peritonitis. He underwent appendicectomy as therapeutic
treatment. Post operational histological examination revealed in situ carcinoma of the appendix
without high hematological tumor markers or visible metastasis in CT scan analysis. We decided
to proceed to right hemicolectomy. The patient was discharged without complications and without
displaying other symptoms in a monitoring interval of two months after surgery. Conclusion:
Adenocarcinomas of the appendix are generally difficult to detect in the early stage leading to significant
morbidity and mortality rates. Therefore, it is necessary to execute a very careful histopathological
examination and perform a detailed intraperitoneal cleaning during operation, so
that any indications of appendix adenocarcinomas in cases of appendectomy won’t be missed or
misjudged.
Description
Keywords
Acute Appendicitis, Appendix Adenocarcinoma, Right Hemicolectomy
Citation
Surgical Science, 2014, 5, 206-209