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典型表现掩盖罕见诊断:一例阑尾炎掩盖盲肠腺癌的病例报告

Typical Presentation to Rare Diagnosis: A Case Report of Appendicitis Revealing Cecal Adenocarcinoma.

作者信息

Eppley David A, Carnemolla Angelica R, Perez-Bello Steven, Castellanos Lisett, Bello Carlos J

机构信息

College of Osteopathic Medicine, Lake Erie College of Osteopathic Medicine, Bradenton, USA.

Biology, Florida International University, Miami, USA.

出版信息

Cureus. 2024 Aug 15;16(8):e66956. doi: 10.7759/cureus.66956. eCollection 2024 Aug.

Abstract

Appendicitis is predominantly observed in teens and young adults. While typical causes include fecalith-induced luminal obstructions, in older adults less common etiologies such as tumors should be considered. This report highlights a rare case of appendicitis secondary to cecal adenocarcinoma in a high-risk patient with a history of obesity and type 2 diabetes mellitus. This case underscores the necessity of considering malignancy as a differential diagnosis in older adults presenting with appendicitis-like symptoms.

摘要

阑尾炎主要见于青少年和年轻人。虽然典型病因包括粪石引起的管腔阻塞,但在老年人中,应考虑肿瘤等较罕见的病因。本报告强调了一例高危患者(有肥胖和2型糖尿病病史)继发于盲肠腺癌的罕见阑尾炎病例。该病例强调了在出现类似阑尾炎症状的老年人中,将恶性肿瘤作为鉴别诊断的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1812/11401633/69861d347458/cureus-0016-00000066956-i01.jpg

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