Carcinoma of the cecum in association with acute appendicitis
1946; Elsevier BV; Volume: 72; Issue: 4 Linguagem: Inglês
10.1016/0002-9610(46)90397-2
ISSN1879-1883
Autores Tópico(s)Intraperitoneal and Appendiceal Malignancies
ResumoAbstract 1. 1. The literature on the subject of carcinoma of the cecum in association with acute appendicitis has been reviewed and a total of eleven cases found therein. One more case is added. 2. 2. The common succession of events is: (1) Signs and symptoms of acute appendicitis in an individual unsuspected of harboring a malignancy; (2) appendiceal rupture and abscess formation; (3) drainage of the abscess without recognition of the presence of cecal cancer; (4) failure of the resulting sinus to close, and (5) the feeling of a mass in relation to the lower end of the cecum. 3. 3. Diagnosis preoperatively is almost impossible. Diagnosis at operation rests on suspecting the possibility of the presence of a growth, carefully examining and evaluating the available portion of cecum and finally taking tissue for microscopic examination when indicated. 4. 4. Resection of the affected portion of bowel, the tissue in the “contact” part of the abdominal wall and the tissue surrounding the sinus tract should be done. A primary ileotransverse colostomy restores bowel continuity.
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