Appendix adenocarcinoma in an elderly patient from a nursing home
Yalçın Sönmez1, Zülfü Bayhan2, Faik Yaylak2, Mehmet Fatih Ekici1, Ayşe Nur Değer3
1Clinic of General Surgery, Ministry Health Dumlupınar University Evliya Çelebi Training and Research Hospital, Kütahya, Turkey
2Department of General Surgery, Dumlupınar University School of Medicine, Kütahya, Turkey
3Department of Pathology, Dumlupınar University School of Medicine, Kütahya, Turkey
Abstract
Appendiceal malignancies are rare clinic entities. The clinical presentation of appendiceal malignancies is often atypical. Acute abdominal pain and acute appendicitis, which requires early surgical intervention, are the most common clinical presentations of appendiceal malignancies. In this case report, an adenocarcinoma of the appendix in a 64-year-old male from a nursing home has been presented. He had right lower quadrant pain for the last 5 days. On physical examination, he had significant guarding. Intravenous contrast-enhanced abdominopelvic tomography revealed no pathological features. Laparotomy under general anesthesia was scheduled. During exploration, a perforated appendicitis was observed. Formal appendectomy was performed. The patient was lost due to pneumonia and septic shock 5 days after surgical intervention. In addition, the natural history of the disease and its basic diagnostic and therapeutic aspects are discussed. Preoperative or intraoperative diagnosis may not be available for some patients. Thus, routine histopathological examination is essential for adequate diagnosis and treatment.
Keywords: Appendix vermiformis, adenocarcinoma, geriatric patient, acute abdomen
Externally peer-reviewed.
Concept - Y.S., Z.B., F.Y., M.F.E.; Design - Y.S., Z.B., F.Y.; Supervision - A.N.D., F.Y.; Data Collection and/or Processing - Y.S., Z.B., M.F.E., A.N.D.; Analysis and/or Interpretation - M.F.E., A.N.D.; Literature Review - M.F.E.; Writer - Y.S., Z.B., F.Y., M.F.E.; Critical Review - A.N.D.
No conflict of interest was declared by the authors.
The authors declared that this study has received no financial support.