Volume 37
Number 2 July 2024Carcinoma of Colon disguised as Apendicitis
DOI: https://doi.org/10.47648/jmsr.2024.v3702.06
Md. Rashidul Hoq1 , Tanzeel Wani2
Abstract
Acute appendicitis is a common surgical emergency; however, in adults it may rarely mask underlying colonic malignancy. We report the case of a 47-year-old woman who presented with history of right lower abdominal pain followed by a palpable appendiceal mass, initially managed as an appendicular lump. The absence of significant leukocytosis and persistence of the mass despite conservative management prompted further evaluation. Imaging and colonoscopy revealed a caecal mass, and biopsy confirmed adenocarcinoma. The patient underwent neoadjuvant chemotherapy followed by right hemicolectomy with primary anastomosis. This case highlights the need for suspicion of underlying malignancy in adults with atypical appendicitis and signifies the importance of multidisciplinary approaches.
Keywords:
- Associate Professor, Department of Surgery
- Intern doctor, Department of Surgery