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Nonmucinous adenocarcinoma of the cecum presenting as appendicitis complicated by hepatic abscess

A 59-year-old man presenting with right upper quadrant pain was found to have hepatic abscesses on CT imaging. After draining the abscess, a repeat CT 3 weeks later indicated that the cause of the hepatic abscesses was appendicitis. Upon surgical resection of the base of the cecum and appendix, an a...

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Autores principales: Adair, Luther B., Tourkow, Benjamin A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6823824/
https://www.ncbi.nlm.nih.gov/pubmed/31700558
http://dx.doi.org/10.1016/j.radcr.2019.09.011
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author Adair, Luther B.
Tourkow, Benjamin A.
author_facet Adair, Luther B.
Tourkow, Benjamin A.
author_sort Adair, Luther B.
collection PubMed
description A 59-year-old man presenting with right upper quadrant pain was found to have hepatic abscesses on CT imaging. After draining the abscess, a repeat CT 3 weeks later indicated that the cause of the hepatic abscesses was appendicitis. Upon surgical resection of the base of the cecum and appendix, an adenocarcinoma was demonstrated along the cecal wall both invading and occluding the appendix. The patient was initially treated for complications of appendicitis, but this case indicates the importance of considering additional etiologies for complex appendicitis. This case report provides a pathology-proven case of well-differentiated, nonmucinous adenocarcinoma of the cecum presenting as a complication of appendicitis and discusses standard treatment options. This case report also reviews the pathophysiological aspects of hepatic abscess as a complication of appendicitis as well as the importance of considering malignancy in a patient presenting with complications of appendicitis.
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spelling pubmed-68238242019-11-07 Nonmucinous adenocarcinoma of the cecum presenting as appendicitis complicated by hepatic abscess Adair, Luther B. Tourkow, Benjamin A. Radiol Case Rep Gastrointestinal A 59-year-old man presenting with right upper quadrant pain was found to have hepatic abscesses on CT imaging. After draining the abscess, a repeat CT 3 weeks later indicated that the cause of the hepatic abscesses was appendicitis. Upon surgical resection of the base of the cecum and appendix, an adenocarcinoma was demonstrated along the cecal wall both invading and occluding the appendix. The patient was initially treated for complications of appendicitis, but this case indicates the importance of considering additional etiologies for complex appendicitis. This case report provides a pathology-proven case of well-differentiated, nonmucinous adenocarcinoma of the cecum presenting as a complication of appendicitis and discusses standard treatment options. This case report also reviews the pathophysiological aspects of hepatic abscess as a complication of appendicitis as well as the importance of considering malignancy in a patient presenting with complications of appendicitis. Elsevier 2019-09-27 /pmc/articles/PMC6823824/ /pubmed/31700558 http://dx.doi.org/10.1016/j.radcr.2019.09.011 Text en © 2019 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Gastrointestinal
Adair, Luther B.
Tourkow, Benjamin A.
Nonmucinous adenocarcinoma of the cecum presenting as appendicitis complicated by hepatic abscess
title Nonmucinous adenocarcinoma of the cecum presenting as appendicitis complicated by hepatic abscess
title_full Nonmucinous adenocarcinoma of the cecum presenting as appendicitis complicated by hepatic abscess
title_fullStr Nonmucinous adenocarcinoma of the cecum presenting as appendicitis complicated by hepatic abscess
title_full_unstemmed Nonmucinous adenocarcinoma of the cecum presenting as appendicitis complicated by hepatic abscess
title_short Nonmucinous adenocarcinoma of the cecum presenting as appendicitis complicated by hepatic abscess
title_sort nonmucinous adenocarcinoma of the cecum presenting as appendicitis complicated by hepatic abscess
topic Gastrointestinal
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6823824/
https://www.ncbi.nlm.nih.gov/pubmed/31700558
http://dx.doi.org/10.1016/j.radcr.2019.09.011
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