Abstract
We report a case of colonic type adenocarcinoma of the appendix with perforating peritonitis in a 92-year-old man. The preoperative diagnosis was localized peritonitis due to acute appendicitis and emergency laparotomy was performed. A gray, hard tumor was palpated at the base of the appendix. Appendiceal cancer was suspected, and right hemicolectomy was performed. The histopathological diagnosis was moderately differentiated adenocarcinoma of the appendix. The tumor obstructed the orifice of the appendix, and this may have caused the perforation of the appendix. The patient had an uneventful postoperative course and there have been no signs of recurrence in the 2 years since the operation.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Collins DC. 71 000 human appendix specimens: A final report, summarizing 40 years’ study. Am J Proctol 1963;14:265–281.
Gamble HA II. Adenocarcinoma of the appendix: An unusual case and review. Dis Colon Rectum 1976;19:621–625.
Steinberg M, Cohn I Jr. Primary adenocarcinoma of the appendix. Surg 1967;61:644–660.
Uihlein A, McDonald JR. Primary carcinoma of the appendix resembling carcinoma of the colon. Surg Gynecol Obstet 1943;76:711–714.
Cerame MA. A 25-year review of adenocarcinoma of the appendix. A frequently perforating carcinoma. Dis Colon Rectum 1988;31:145–150.
Qizilbash AH. Primary adenocarcinoma of the appendix. A clinicopathological study of 11 cases. Arch Pathol 1975;99:556–562.
McGregor JK, McGregor DD. Adenocarcinoma of the appendix. Surg 1960;48:925–935.
Wilson R. Primary carcinoma of the appendix. Am J Surg 1962;104:238–249.
Reenalda PE, Bruggink EDM. Tumor of the appendix. Neth J Surg 1984;36-2:54–56.
Guarino GB, Chitwood EM Jr. Adenocarcinoma of the appendix: With a review of recent literature. Am J Surg 1954;87:293–296.
Hopkins GB, Tullis RH, Kristensen KAB. Primary adenocarcinoma of the vermiform appendix: Report of seven cases and review of the literature. Dis Colon Rectum 1973;16-2:140–144.
Higa E, Rosai J, Pizzimbono CA. Mucosal hyperplasia, mucinous cystadenoma and mucinous cystadenocarcinoma of the appendix. Cancer 1973;32:1525–1541.
Pugeda FV, Hinshaw JR. Primary adenocarcinoma of the appendix. Dis Colon Rectum 1969;12:457–461.
Quzilbash AH. Mucoceles of the appendix. Arch Pathol 1975; 99:548–555.
Ghosh BC, Huvos AG, Whiteley HW. Pseudomyxoma peritonei. Dis Colon Rectum 1972;15:420–425.
Green N, Gancedo H, Smith R. Pseudomyxoma peritonei. Non-operative management and biochemical findings. Cancer 1975;36:1834–1837.
Bleiberg H, Mithel J, Leperre F. Pseudomyxoma pe’ritone’al. Acta Gastroenterol Belg 1974;37:448–457.
Meyer CH, Calderak H, Alexion D. Mucocele appendiculaire et pseudomyxoma pe’ritone’al. Acta Chir Belg 1976;3:331–340.
Didolkar MS, Fanous N. Adenocarcinoma of the appendix. A clinicopathological study. Dis Colon Rectum 1977;20:130–134.
Otto RE, Ghislandi EV, Lorenzo GA. Primary appendiceal adenocarcinoma. Am J Surg 1970;120:704–706.
Berman AT, James PM Jr. Adenocarcinoma of the vermiform appendix. Am J Surg 1970;119:733–736.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Yamada, T., Murao, Y., Nakamura, T. et al. Primary adenocarcinoma of appendix, colonic type associated with perforating peritonitis in an elderly patient. J Gastroenterol 32, 658–662 (1997). https://doi.org/10.1007/BF02934117
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02934117