Malignant Tumours Mimicking Complicated Appendicitis and Discovered upon Follow-Up after Percutaneous Drainage: A Case of Two Patients.
Case Rep Radiol 2018;
2017:3253928. [PMID:
29348959 PMCID:
PMC5733899 DOI:
10.1155/2017/3253928]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2017] [Revised: 10/24/2017] [Accepted: 11/01/2017] [Indexed: 11/28/2022] Open
Abstract
The conservative management of periappendiceal abscesses is gaining favour due to decreased morbidity and improved clinical outcomes for patients. Occasionally however an abscess can mask underlying sinister pathology. In this article, we highlight two cases of appendiceal adenocarcinoma that were initially diagnosed as periappendiceal abscesses and managed conservatively with percutaneous drainage. We also discuss clinical and imaging features that may assist with identifying a hidden malignancy when presented in these situations.
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