Eriguchi Naofumi, Matsunaga Akira, Futamata Yasuhiko, Tayama Kosuke, Harada Hiroshi, Tanaka Atsuhisa, Yoshida Atsushi, Aoyagi Shigeaki
Department of Surgery, Sasebo Kyosai Hospital, 10-17 Shimanji-cho, Sasebo 857-8575, Japan.
Kurume Med J. 2002;49(4):217-9. doi: 10.2739/kurumemedj.49.217.
Appendicitis can rarely occur in association with carcinoma of the caecum, particularly in elderly patients. We report a case of acute appendicitis provoked by an adenocarcinoma of the caecum which obstructs the lumen of the appendix in a 58-year-old man. The patient underwent an ileocaecal resection with lymph node dissection. The difficulties of identifying a small tumor at laparotomy and the implication for optimal treatment are emphasized.