表现为急性阑尾炎的阑尾黏液腺癌:病例报告。

IF 0.4 Q4 SURGERY Journal of Surgical Case Reports Pub Date : 2024-11-18 eCollection Date: 2024-11-01 DOI:10.1093/jscr/rjae713
Asham Al Salkhadi, Mohammad Ajwad Al Salkhadi, Ayham Hasan
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引用次数: 0

摘要

阑尾粘液腺癌(MAA)是一种罕见的原发性恶性肿瘤,发病率为 0.01-0.2%,通常表现为急性阑尾炎。我们报告了一例 61 岁男性患者的病例,患者最初表现为右髂窝疼痛,3 天后疼痛加剧,伴有食欲不振,但无其他症状。患者的病史包括脾切除术和癫痫。体格检查和计算机断层扫描显示他患有急性阑尾炎。他接受了急诊腹腔镜阑尾切除术,由于肿块与盲肠粘连,手术改为开腹右半结肠切除术。盲肠处的肿块来自阑尾,大小为 10 × 7 × 7 厘米。病理证实为中度分化的 MAA。准确诊断需要结合影像学和组织病理学。患者恢复良好,术后第 6 天出院。我们旨在强调区分 MAA 和急性阑尾炎的重要性以及术前仔细评估的必要性。
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Mucinous adenocarcinoma of the appendix presenting as acute appendicitis: a case report.

Mucinous adenocarcinoma of the appendix (MAA) is a rare primary malignancy with an incidence of 0.01-0.2% and often presents as acute appendicitis. We present a case of a 61-year-old male who initially presented with right iliac fossa pain, worsening over 3 days, accompanied by appetite loss but no other symptoms. The patient's history included a splenectomy and epilepsy. Physical examination and computed tomography scan suggested a picture of acute appendicitis. He underwent an emergency laparoscopic appendectomy that was converted to open right hemicolectomy due to the mass's adherence to the cecum. The mass, at the cecum, originating from the appendix, measured 10 × 7 × 7 cm. Pathology confirmed a moderately differentiated MAA. Accurate diagnosis requires a combination of imaging and histopathology. The patient recovered well and was discharged on Day 6 postoperatively. We aim to highlight the importance of distinguishing MAA from acute appendicitis and the need for careful preoperative evaluation.

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来源期刊
CiteScore
0.70
自引率
0.00%
发文量
559
审稿时长
11 weeks
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