Appendicular tumor causing appendicitis in a young man: a case report

Authors

DOI:

https://doi.org/10.33448/rsd-v11i7.30308

Keywords:

Appendicitis; Acute Abdomen; Appendiceal Neoplasms; Adenocarcinoma; Health teaching.

Abstract

Introduction: The most common pathogenesis of acute appendicitis is luminal obstruction of the appendix by fecaliths. However, any material that can directly or indirectly obliterate the appendicular cavity can cause acute appendicitis. Appendicular tumors are relatively rare, but they can obliterate the lumen of the organ, leading to appendicitis. Case report: A 23-year-old patient with an acute inflammatory abdomen was preoperatively diagnosed with acute appendicitis. Intraoperatively, the diagnosis of acute appendicitis with a perforated appendix was confirmed. The anatomopathological diagnosis was colonic adenocarcinoma of the appendix and the patient was summoned to receive appropriate treatment. Methodology: In addition to studying the patient's medical records, a bibliographic research was carried out on the topic, which permeated the discussion, including the prevalence, diagnosis and management of appendix tumors. Conclusion: The importance of clinical, radiological, and anatomopathological diagnoses in acute appendicitis and surveillance during non-operative management are highlighted in this case. Reports of appendicular tumors are increasing, and this scenario can be avoided if risk factors are identified.

References

Abdullah, M., & Firmansyah, M. A. (2012). Diagnostic approach and management of acute abdominal pain. Acta med Indonesiana, 44 (4), 344-350.

Assarzadegan, N., & Montgomery, E. (2021). What is New in the 2019 World Health Organization (WHO) Classification of Tumors of the Digestive System Review of Selected Updates on Neuroendocrine Neoplasms, Appendiceal Tumors, and Molecular Testing. Archives of Pathology & Laboratory Medicine, 145, 664–677

Bom, W. J., Scheijmans, J. C., Salminen, P., & Boermeester, M. A. (2021). Diagnosis of uncomplicated and complicated appendicitis in adults. Scandinavian Journal of Surgery, 110 (2) 170–179.

Chicago Consensus Working Group (2020). The Chicago Consensus Guidelines for peritoneal surface malignancies: Introduction. Cancer, 126 (11), 2510-2512

Emile, S. H., Hamid, H. K., Hkan, S. M., & Davis, G. N. (2021). Rate of Application and Outcome of Non-operative Management of Acute Appendicitis in the Setting of COVID-19: Systematic Review and Meta-analysis. Journal of Gastrointestinal Surgery, 25 1905–1915

Gibbs, T., Washington, M. K., Eng, C., Idrees, K., Davis, J., & Holowatyj, A. N. (2021). Histologic and Racial/Ethnic Patterns of Appendiceal Cancer among Young Patients. Cancer epidemiology, biomarkers & prevention, 30 (6) 1149–1155.

Jedrzkiewicz, J., Tateishi, Y., Kirsch, R., Conner, J., Bischof, D., McCart, A., Riddell, R., Pollett, A., Taylor, E. L., & Govindarajan, A. (2019) Impact of referral center pathology review on diagnosis and management of patients with appendiceal neoplasms. Archives of pathology & laboratory medicine, 144 (6), 764-768.

Jones, S., Ranzenberger, L. R. & Carter, K. R. (2022). Appendix Imaging. https://ncbi.nlm.nih.gov/books/NBK549903/

Kang, D-W., Kim, B., Kim, J. M., Kim, J., Chang, H. J., Chang, M. S.. Sohn, J-H., Cho, M-Y., Jin, S-Y., Chang, H. K., Han, H. S., Kim, J. Y., Kim, H. S., Park, D. Y., Park, H. Y., Lee, S.J., Lee, W., Lee, H. S., Kang, Y.N., Choi, Y., & The Gastrointestinal Pathology Study Group of the Korean Society of Pathologists. (2021). Standardization of the pathologic diagnosis of appendiceal mucinous neoplasms. Journal of Pathology and Translational Medicine, 55, 247-264.

Karande, G. Y., Chua, W. M., Yiin, R., Wong, K. M., Hedgire, S., & Tan, T.J. (2019). Spectrum of computed tomography manifestations of appendiceal neoplasms: acute appendicitis and beyond. Singapore medical journal. 60 (4), 173–182.

Kelly, K. J. (2015). Management of appendix cancer. Clinics in Colon and Rectal Surgery, 28 (4), 247–255.

Kohler, F., Muller, S., Hendricks, A., Kastner, C., Reese, L., Boerner, K., Flemming, S., Lock, J. F., Germer, C-T., & Wiegering, A. (2021) Changes in appendicitis treatment during the COVID-19 pandemic – A systematic review and meta-analysis. International Journal of Surger,. 95 e106148

Loftus, T. J., Raymond, S. L., Sarosi, G. A., Croft, C. A., Smith. R. S., Efron, P. A., Moore, F. A., Brakenridge, S. C., Mohr, A. M., & Jordan, J. R. (2017). Predicting appendiceal tumors among patients with appendicitis. The journal of trauma and acute care surgery, 82 (4), 771-775.

Patterson, J. W., Kashyap, S., & Dominique, E. (2020). Acute Abdomen, https://www.ncbi.nlm.nih.gov/books/NBK459328/

Podda, M., Pisanu, A., Sartelli, M., Coccolini, F., Damaskos, D., Augustin, G., Khan, M., Pata, F., De Simone, B., Ansaloni, L., Catena, F., & Di Saverio, S. (2021). Diagnosis of acute appendicitis based on clinical scores: is it a myth or reality? Acta Biomedica, 92 (4) e2021231.

Ruiz, S. G., Geraghty, F., Padron, D., Chacon, D., & Kahane, G. (2021) The Appendix: A Rare Case of an Appendiceal Collision Tumor. Cureus Journal of Medical Science, 13 (8) e17050.

Şenol, K., Ferhatoğlu, M. F., & Tihan, D. (2019). Clinicopathologic and prognostic features in appendiceal malignancies: does tumor invasiveness matter? Turkish journal of surgery, 35 (4), 245-251.

Teng, T. Z., Thong, X. R., Lau, K. Y., Balasubramaniam, S., & Shelat, V. G. (2021). Acute appendicitis–advances and controversies. World Journal of Gastrointestinal Surgery, 13 (11), 1293-1314

Tokunaga, R., Xiu, J., Johnston, C., Goldberg, R. M., Philip, P. A., Seeber, A., Naseem, M., Lo, J. H., Arai, H., Battaglin, F., Puccini, A., Berger, M. D., Soni, S., Zhang, W., Hwang, J. J., Shields, A. F., Marshall, J. L., Baba, H., Korn, W. M., & Lenz, H. J. (2019). Molecular profiling of appendiceal adenocarcinoma and comparison with right-sided and left-sided colorectal cancer. Clinical Cancer Research: an official journal of the American Association for Cancer Research, 25 (10), 3096-3103.

Van de Moortele, M., De Hertogh, G., Sagaert, X., & Van Cutsem, E. (2020). Appendiceal cancer: a review of the literature. Acta gastro-enterologica Belgica, 83 (3), 441-448.

Yildirim, E., Kegin, M., Özdemir, M., Bektas, S., Pelen, Z., & Er, M. (2022). Neoplasms of the appendix: Single institution and ten-year experiences results. Ulus Travma Acil Cerrahi Derg, 28 (3) 352-360.

Downloads

Published

04/06/2022

How to Cite

SPERLI, R. C.; SOUZA, N. M. de; LIMA, O. A. R. .; SILVA, J. H. do A. e .; GOMIDE, G. P. M. .; CAMILO, S. M. P. . Appendicular tumor causing appendicitis in a young man: a case report. Research, Society and Development, [S. l.], v. 11, n. 7, p. e56811730308, 2022. DOI: 10.33448/rsd-v11i7.30308. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/30308. Acesso em: 22 nov. 2024.

Issue

Section

Health Sciences