Cruz-Rubín C, Rodríguez-Wong U, García-Álvarez J, Gutiérrez-Baños JJ, Díaz-Meza DMS

Language: Spanish
References: 8
Page: 125-128
PDF size: 422.10 Kb.

ABSTRACT

Acute appendicitis is a common disease, but their association as the first symptom of Colorectal Cancer (CRC) is extremely rare with a reported incidence of 3.4-15%. Neoplasms may cause an obstruction of the lumen of the appendix and subsequently result in appendicitis, and this is particularly important in the elderly. We report the case of a male patient of 59 years without significant medical history with symptoms of acute appendicitis in which was identified a perforation occurred in a colorectal tumor, reaching the appendiceal wall, causing inflammation and peritoneal carcinomatosis.

REFERENCES

1. Arjona A, Tordera E, Cecilia D, Rufian S. Colon cancer presenting as an appendiceal abscess in a young patient. Can J Surg 2008; 51(1): E15-E16.

2. Arnbjornsonn E. Acute appendicitis as a sign of colorectal carcinoma. J Surg Oncol 1982; 20: 17-20.

3. Sumpio BE, Ballantyne GH, Zdon MJ, Modlin IM. Perforated appendicitis and obstructing colonic carcinoma in the elderly. Dis Colon Rectum 1986; 29: 668-70.

4. Friedman GD, Fireman BH. Appendectomy, appendicitis, and large bowel cancer. Cancer Res 1990; 50: 7549-51.

5. Hung-Wen Lai, Che-Chuan Loong. Incidence and Odds Ratio of Appendicitis as First Manifestation of Colon Cancer: A Retrospective Analysis of 1873 Patients. J Gastroenterol Hepatol 2006; 21(11): 1693-6.

6. Bizer LS. Acute appendicitis is rarely the initial presentation of cecal cancer in the elderly patient. J Surg Oncol 1993; 54: 45-6.

7. Fiume I, Napolitano V. Cecum cancer underlying appendicular abscess. Case report and review of literature. W J Emerg Surg 2006; 1: 11.

8. Watchorn Liina R, Poder Zhen J, Wang Benjamin M, Yeh Emily M, Webb Fergus V. Coakley. Computed tomography findings mimicking appendicitis as a manifestation of colorectal cancer. Clin Imaging 2009; 33(6): 430-2.