Caecal tumour masquerading as an appendicular mass

  • Martha Nixon Gastroenterology, Surgery & Renal Services Directorate, Plymouth Hospitals NHS Trust, Derriford Hospital, Plymouth, United Kingdom.
  • Jes Verwey Gastroenterology, Surgery & Renal Services Directorate, Plymouth Hospitals NHS Trust, Derriford Hospital, Plymouth, United Kingdom.
  • Jacob A. Akoh | jaakoh@gmail.com Gastroenterology, Surgery & Renal Services Directorate, Plymouth Hospitals NHS Trust, Derriford Hospital, Plymouth, United Kingdom.

Abstract

Appropriate management of appendix mass is based on an accurate diagnosis of the underlying pathology. This is a report of a complex patient presenting with an appendix mass, whose surgery was deferred due to severe comorbidities and who later died from severe metastatic disease. A 65-year-old lady presented with right iliac fossa pain and a mass. She was treated for an appendix mass initially and when the mass failed to resolve after four weeks, she was thoroughly investigated for the possibility of a tumour. Severe co-morbities had a significant impact on her management as definitive surgery was delayed. She represented 10 months after the initial admission with small bowel obstruction and died of metastatic caecal cancer. Management of appendix mass must entail a careful approach to investigating and treatment with emphasis on early intervention if the mass does not resolve promptly. This will avoid delayed diagnosis, treatment and a detrimental impact on prognosis.

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Author Biographies

Martha Nixon, Gastroenterology, Surgery & Renal Services Directorate, Plymouth Hospitals NHS Trust, Derriford Hospital, Plymouth

Specialist Registrar

Jes Verwey, Gastroenterology, Surgery & Renal Services Directorate, Plymouth Hospitals NHS Trust, Derriford Hospital, Plymouth
F1 Doctor
Jacob A. Akoh, Gastroenterology, Surgery & Renal Services Directorate, Plymouth Hospitals NHS Trust, Derriford Hospital, Plymouth

Consultant General Surgeon

 

Published
2011-12-30
Info
Issue
Section
Case Reports
Keywords:
appendix mass, caecal cancer, computed tomography.
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How to Cite
Nixon, M., Verwey, J., & Akoh, J. A. (2011). Caecal tumour masquerading as an appendicular mass. Clinics and Practice, 2(1), e4. https://doi.org/10.4081/cp.2012.e4