Mucinous appendiceal adenocarcinoma as a rare cause of ileus: A case report

Although appendiceal tumours are rare, they may be encountered unexpectedly in any emergency abdominal operation. Many of these tumours are not recognized intraoperatively and are diagnosed only during formal histopathological analysis of an appendectomy specimen. We present a rare case of appendice...

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Main Authors: Doklestić Krstina S, Bumbaširević Vesna, Detanac Džemail, Detanac Dženana, Karamarković Aleksandar R
Format: Article
Language:English
Published: Association of medical doctors Sanamed Novi Pazar 2011-01-01
Series:Sanamed
Subjects:
Online Access:http://www.sanamed.rs/sanamed_pdf/sanamed_6_2/Kristina_Doklestic.pdf
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author Doklestić Krstina S
Bumbaširević Vesna
Detanac Džemail
Detanac Dženana
Karamarković Aleksandar R
author_facet Doklestić Krstina S
Bumbaširević Vesna
Detanac Džemail
Detanac Dženana
Karamarković Aleksandar R
author_sort Doklestić Krstina S
collection DOAJ
description Although appendiceal tumours are rare, they may be encountered unexpectedly in any emergency abdominal operation. Many of these tumours are not recognized intraoperatively and are diagnosed only during formal histopathological analysis of an appendectomy specimen. We present a rare case of appendiceal adenocarcinoma which caused acute bowel ob struction. The patient presented with abdominal pain, distension and constipation. Abdominal radiography showed large bowel obstruction. On laparotomy the appendix was abnormal, with a tumor growing in to the ileal loop and creating a bowel obstruction. An appendectomy was performed with enbloc bowel segment resection and end ileostomy. Pathology specimens showed that the primary neoplasm was the appendiceal mucinous adenocarcinoma infiltrating the ileal loop. Patient underwent a right hemicolectomy, and recovered afterwards with no evidence of local recurrence or metastatic disease as confirmed by the standard follow-up. Physicians should keep in their minds that appendiceal neoplasm may have various and nonspecific presentations, but only an accurate diagnosis will lead to correct patients treatment, healing and long-term survival.
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spelling doaj.art-ab83db2e9fe346fe8973d2326b6cbc892024-03-03T02:34:24ZengAssociation of medical doctors Sanamed Novi PazarSanamed1452-662X2217-81712011-01-01629598Mucinous appendiceal adenocarcinoma as a rare cause of ileus: A case reportDoklestić Krstina SBumbaširević VesnaDetanac DžemailDetanac DženanaKaramarković Aleksandar RAlthough appendiceal tumours are rare, they may be encountered unexpectedly in any emergency abdominal operation. Many of these tumours are not recognized intraoperatively and are diagnosed only during formal histopathological analysis of an appendectomy specimen. We present a rare case of appendiceal adenocarcinoma which caused acute bowel ob struction. The patient presented with abdominal pain, distension and constipation. Abdominal radiography showed large bowel obstruction. On laparotomy the appendix was abnormal, with a tumor growing in to the ileal loop and creating a bowel obstruction. An appendectomy was performed with enbloc bowel segment resection and end ileostomy. Pathology specimens showed that the primary neoplasm was the appendiceal mucinous adenocarcinoma infiltrating the ileal loop. Patient underwent a right hemicolectomy, and recovered afterwards with no evidence of local recurrence or metastatic disease as confirmed by the standard follow-up. Physicians should keep in their minds that appendiceal neoplasm may have various and nonspecific presentations, but only an accurate diagnosis will lead to correct patients treatment, healing and long-term survival.http://www.sanamed.rs/sanamed_pdf/sanamed_6_2/Kristina_Doklestic.pdfappendicular neoplasmmucinous adenocarcinomabowel obstruction
spellingShingle Doklestić Krstina S
Bumbaširević Vesna
Detanac Džemail
Detanac Dženana
Karamarković Aleksandar R
Mucinous appendiceal adenocarcinoma as a rare cause of ileus: A case report
Sanamed
appendicular neoplasm
mucinous adenocarcinoma
bowel obstruction
title Mucinous appendiceal adenocarcinoma as a rare cause of ileus: A case report
title_full Mucinous appendiceal adenocarcinoma as a rare cause of ileus: A case report
title_fullStr Mucinous appendiceal adenocarcinoma as a rare cause of ileus: A case report
title_full_unstemmed Mucinous appendiceal adenocarcinoma as a rare cause of ileus: A case report
title_short Mucinous appendiceal adenocarcinoma as a rare cause of ileus: A case report
title_sort mucinous appendiceal adenocarcinoma as a rare cause of ileus a case report
topic appendicular neoplasm
mucinous adenocarcinoma
bowel obstruction
url http://www.sanamed.rs/sanamed_pdf/sanamed_6_2/Kristina_Doklestic.pdf
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AT bumbasirevicvesna mucinousappendicealadenocarcinomaasararecauseofileusacasereport
AT detanacdzemail mucinousappendicealadenocarcinomaasararecauseofileusacasereport
AT detanacdzenana mucinousappendicealadenocarcinomaasararecauseofileusacasereport
AT karamarkovicaleksandarr mucinousappendicealadenocarcinomaasararecauseofileusacasereport