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Objectif : preciser les circonstances de decouvertes des tumeurs primitives de l’appendice et apprecier les resultats de la prise en charge dans nos conditions d’exercice de travail au CHU SO de Lome au Togo. Methodologie : etude retrospective descriptive incluant les dossiers des patients pris en charge dans le service des urgences du CHU SO pour appendicite aigue et chez qui l’examen anatomo-pathologique de la piece d’appendicectomie avait confirme une tumeur primitive de l’appendice, de Janvier 2014 a Decembre 2018 (5 ans).Resultats : nous rapportons 5 cas de tumeurs appendiculaires decouvertes chez 3 femmes et 2 hommes. L’âge moyen des patients etait de 32,8 ans. La symptomatologie clinique etait celle d’une appendicite aigue confirmee a la tomodensitometrie (TDM). L’indication chirurgicale avait ete posee et le geste chirurgical avait consiste a une appendicectomie dans tous les cas. L’examen histologique avait permis de decouvrir fortuitement une tumeur primitive de l’appendice dont 4 tumeurs neuroendocrines et un adenocarcinome. Une hemicolectomie complementaire avait ete realisee dans le cas de l’adenocarcinome. Conclusion : les tumeurs primitives de l’appendice sont rares et leur expression symptomatique est celle d’un tableau d’une appendicite aigue. Seul l’examen anatomopathologique de la piece d’appendicectomie permet de diagnostiquer fortuitement une tumeur primitive de l’appendice. Background: to clarify the circumstances of discovery of the primary tumors of the appendix and to assess the results of management in our working conditions at the University Hospital Sylvanus Olympio Lome in Togo. Methodology: retrospective descriptive study including records of patients treated in the emergency department of the Sylvanus Olympio University Hospital Center for acute appendicitis and in whom the pathological examination of the appendectomy specimen confirms a primary tumor of the appendix, from January 2014 to December 2018 (5 years). Results: we report 5 cases of appendicular tumors found in 3 women and 2 men. The average age of the patients was 32.8 years old. The clinical symptomatology was that of acute appendicitis confirmed by computed tomography (CT). The surgical indication was asked and the surgical procedure consisted of an appendectomy in all cases. Histological examination revealed accidentally a primary appendix tumor including 4 neuroendocrine tumors and adenocarcinoma. A complementary hemi colectomy was performed in the case of adenocarcinoma. Conclusion: the primary tumors of the appendix are rare and their symptomatic expression is that of a table of acute appendicitis. Only the anatomopathological examination of the appendectomy specimen can accidentally diagnose a primary tumor of the appendix.

european scientific journal

Epidémiologie, Diagnostic et Prise en Charge des Tumeurs Primitives de L’appendice Au Centre Hospitalier Universitaire Sylvanus Olympio (CHU SO) de Lomé Au Togo