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Case Report: The importance of examining colon and rectum in patients with appendiceal cancer [version 1; peer review: awaiting peer review]

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@article{98f815e269d54848b841212797859a4e,
title = "Case Report: The importance of examining colon and rectum in patients with appendiceal cancer [version 1; peer review: awaiting peer review]",
abstract = "Appendiceal cancer is rare and is often diagnosed incidentally inpatients undergoing appendectomy for acute appendicitis. However,patients with appendiceal cancer are at increased risk ofsynchronous malignancy. In this case report, we present a 58-year-oldman initially diagnosed with acute appendicitis after presenting to theemergency department with abdominal pain. He had anappendectomy and was discharged the following day. Unexpectedly,the postoperative histopathologic examination showed aprimary adenocarcinoma in the appendix. A computedtomography scan showed rectal wall thickening and the patientwas referred to colonoscopy where anexperienced endoscopist found a rectal tumor duringthe digital rectal examination prior to the colonoscopy. The tumor wasinitially missed by the newly qualified doctor who examined thepatient during his first admittance to hospital. The patient{\textquoteright}s twoprimary cancers were treated with a laparoscopicright hemicolectomy for theappendiceal cancer and a low anterior resection for the rectalcancer. This case supports the importance of a full colorectal workupin patients with appendiceal cancer. It also emphasizes the value of athorough digital rectal examination and the need for improved focuson teaching and practice of the procedure.",
author = "Hugin Reistrup and Siv Fonnes and Jacob Rosenberg and Kristoffer Andresen",
year = "2021",
month = feb,
day = "26",
doi = "10.12688/f1000research.50909.1",
language = "English",
volume = "10",
pages = "1--6",
journal = "F1000Research",
issn = "2046-1402",
publisher = "F1000 Research Ltd.",

}

RIS

TY - JOUR

T1 - Case Report: The importance of examining colon and rectum in patients with appendiceal cancer [version 1; peer review: awaiting peer review]

AU - Reistrup, Hugin

AU - Fonnes, Siv

AU - Rosenberg, Jacob

AU - Andresen, Kristoffer

PY - 2021/2/26

Y1 - 2021/2/26

N2 - Appendiceal cancer is rare and is often diagnosed incidentally inpatients undergoing appendectomy for acute appendicitis. However,patients with appendiceal cancer are at increased risk ofsynchronous malignancy. In this case report, we present a 58-year-oldman initially diagnosed with acute appendicitis after presenting to theemergency department with abdominal pain. He had anappendectomy and was discharged the following day. Unexpectedly,the postoperative histopathologic examination showed aprimary adenocarcinoma in the appendix. A computedtomography scan showed rectal wall thickening and the patientwas referred to colonoscopy where anexperienced endoscopist found a rectal tumor duringthe digital rectal examination prior to the colonoscopy. The tumor wasinitially missed by the newly qualified doctor who examined thepatient during his first admittance to hospital. The patient’s twoprimary cancers were treated with a laparoscopicright hemicolectomy for theappendiceal cancer and a low anterior resection for the rectalcancer. This case supports the importance of a full colorectal workupin patients with appendiceal cancer. It also emphasizes the value of athorough digital rectal examination and the need for improved focuson teaching and practice of the procedure.

AB - Appendiceal cancer is rare and is often diagnosed incidentally inpatients undergoing appendectomy for acute appendicitis. However,patients with appendiceal cancer are at increased risk ofsynchronous malignancy. In this case report, we present a 58-year-oldman initially diagnosed with acute appendicitis after presenting to theemergency department with abdominal pain. He had anappendectomy and was discharged the following day. Unexpectedly,the postoperative histopathologic examination showed aprimary adenocarcinoma in the appendix. A computedtomography scan showed rectal wall thickening and the patientwas referred to colonoscopy where anexperienced endoscopist found a rectal tumor duringthe digital rectal examination prior to the colonoscopy. The tumor wasinitially missed by the newly qualified doctor who examined thepatient during his first admittance to hospital. The patient’s twoprimary cancers were treated with a laparoscopicright hemicolectomy for theappendiceal cancer and a low anterior resection for the rectalcancer. This case supports the importance of a full colorectal workupin patients with appendiceal cancer. It also emphasizes the value of athorough digital rectal examination and the need for improved focuson teaching and practice of the procedure.

U2 - 10.12688/f1000research.50909.1

DO - 10.12688/f1000research.50909.1

M3 - Journal article

VL - 10

SP - 1

EP - 6

JO - F1000Research

JF - F1000Research

SN - 2046-1402

M1 - 152

ER -

ID: 64084281