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New Emirates Medical Journal

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Case Report

Adenocarcinoma of the Appendix in Elderly: Diagnostic Dilemma

Author(s): Heba Nofal, Hayder Al-Masari*, Marwan Mohammed Rashed, Reham Ainawi, Desh Idnani and Rawan Majdalawi

Volume 2, Issue 1, 2021

Published on: 08 September, 2020

Page: [60 - 63] Pages: 4

DOI: 10.2174/0250688201999200908145403

open_access

Abstract

Acute appendicitis in elderly continue to be a diagnostic dilemma as it raises both the suspicion of malignancy and increased risk of morbidity and mortality. Cancers of the appendix are rare and most of them are found accidentally on appendectomies performed for acute appendicitis. When reviewed, the majority of the tumors were carcinoid, adenoma, and lymphoma. Adenocarcinomas of appendix are only 0.08% of all cancers and the treatment remains controversial. This paper presents a case of 75-year-old female presented to the emergency (ER) with signs and symptoms mimicking acute appendicitis. Laparoscopic appendectomy was planned after a CT scan was done as it was suggesting acute appendicitis. The specimen then was sent for pathology lab and a diagnosis of adenocarcinoma of the appendix was made.

Keywords: Acute Appendicitis, Appendicitis in elderly, Tumor of the appendix, Adenocarcinoma of the appendix, CT scan edenoma.

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