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Unusual presentation of carcinoma of the vermiform appendix: A report of two cases
Author(s) -
Waizbard E.,
Michowitz M.,
Baratz M.,
Papo J.,
Stavorovsky M.
Publication year - 1984
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.2930250409
Subject(s) - vermiform , medicine , appendix , abscess , presentation (obstetrics) , groin , adenocarcinoma , surgery , carcinoma , sepsis , appendicitis , general surgery , radiology , pathology , cancer , paleontology , biology
Two unusual presentations of perforated mucoid adenocarcinoma of the appendix are described. One patient presented with a large periappendicular abscess that extended into the gluteal region, the other with a retroperitoneal abscess and abscesses in the right flank and groin. Recognition of the source of the abscess may be difficult but is essential for the prevention and elimination of the sepsis which may be life‐threatening. The presence of mucin in the drained pus is highly suggestive for perforated bowel carcinoma. A high index of suspicion and the performance of prompt diagnostic procedures may bring early surgical treatment and better results.