Neuroendocrine tumor of appendix presenting as appendicitis

This was 34yr old male with no PMH was in his usual state of health at work loading a truck where he experienced a fall resulting in persistent RLQ pain. He had a CT scan of the abdomen and pelvis performed that was normal with a non visualised appendix. Patient was seen by surgery who suggested an appendectomy however the patient wasn’t ready for it and wanted to try antibiotics. He was placed on ciprofloxacin and metronidazole. His symptoms worsened therefore he returned to the emergency room and was admitted. He underwent a laparoscopic appendectomy with no visible tumor seen at the time of the surgery.