Perforated appendicitis and obstructing colonic carcinoma in the elderly

Diseases of the Colon and Rectum
B E SumpioI M Modlin

Abstract

Two patients admitted with perforated appendicitis and obstructing colonic cancers are presented. The first patient, a 75-year-old man, developed a persistent fecal fistula following appendectomy. Barium enema demonstrated an obstructing hepatic flexure carcinoma. The second patient, a 62-year-old man, recovered uneventfully following appendectomy. Persistent occult blood was found in his stools during follow-up examinations. Three months after surgery, diagnostic colonoscopy revealed a nearly obstructing sigmoid carcinoma. Obstruction of the appendiceal lumen by such lesions as fecaliths, carcinoid tumors, lymphoid hyperplasia, or cecal carcinoma accounts for appendicitis in the majority of patients. These two patients illustrate a less common cause. As many as 3 percent of patients over 40 years of age presenting with appendicitis also have obstructing colonic carcinomas. Elderly patients with appendicitis should be evaluated for colonic neoplasms at a clinically suitable time.

References

Nov 1, 1966·Diseases of the Colon and Rectum·P Peltokallio
Jul 1, 1964·Diseases of the Colon and Rectum·E WILSON
Jan 1, 1951·A.M.A. Archives of Surgery·H HELLSTEN, S RAMSTROM
Jun 1, 1951·American Journal of Surgery·J F PATTERSON, J M DEAVER
Jun 1, 1951·Postgraduate Medicine·C COSTELLO, J SAXTON
Jun 1, 1951·Klinicheskaia meditsina·V S SAVEL'EV
May 1, 1952·A.M.A. Archives of Surgery·H K RANSOM

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Citations

Sep 21, 2006·Journal of Gastroenterology and Hepatology·Hung-Wen LaiWing-Yiu Lui
Jul 7, 2018·Scandinavian Journal of Gastroenterology·Eirik Sylthe PedersenTom Christian Martinsen
Dec 1, 1989·Postgraduate Medicine·J F Foss

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