TITLE:
Adenocarcinoma of the Appendix in Young Men with Acute Appendicitis
AUTHORS:
K. Alexiou, Argyrios Ioannidis, I. Drikos, I. Karanikas, A. Fotopoulos, M. Chorti, N. Economou
KEYWORDS:
Acute Appendicitis, Appendix Adenocarcinoma, Right Hemicolectomy
JOURNAL NAME:
Surgical Science,
Vol.5 No.5,
May
19,
2014
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.