Shamsuddin Perisamy Rajeev, Tharek Anas
Department of Radiology, IIUM Medical Centre, Kuantan, Pahang, Malaysia.
Department of Radiology, HSAAS, Serdang, Selangor, Malaysia.
Radiol Case Rep. 2025 Jul 4;20(9):4794-4796. doi: 10.1016/j.radcr.2025.06.005. eCollection 2025 Sep.
Primary appendiceal carcinoma is a rare malignancy that presents with a spectrum of clinical symptoms, primarily gastrointestinal in nature. Rarely, it invades the urinary bladder, leading to urinary tract symptoms. We report a case of a 63-year-old female with a 1-year history of hematuria and recurrent urinary tract infections (UTIs) initially treated as simple UTIs. Further investigations, prompted by the failure of medical treatment and symptom recurrence, revealed appendiceal adenocarcinoma invading the urinary bladder. This case highlights the potential for appendiceal malignancy to masquerade as urinary symptoms and underscores the importance of thorough investigation in cases of recurrent urinary tract symptoms, particularly when conventional treatment fails.
原发性阑尾癌是一种罕见的恶性肿瘤，表现出一系列临床症状，主要为胃肠道症状。极少情况下，它会侵犯膀胱，导致泌尿系统症状。我们报告一例63岁女性病例，该患者有1年血尿和复发性尿路感染病史，最初被当作单纯的尿路感染进行治疗。由于药物治疗失败且症状复发，进一步检查发现阑尾腺癌侵犯膀胱。该病例凸显了阑尾恶性肿瘤可能伪装成泌尿系统症状，并强调了对复发性泌尿系统症状进行全面检查的重要性，尤其是在传统治疗失败时。
