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CASE REPORT
Year : 2001  |  Volume : 4  |  Issue : 1  |  Page : 46-48

Colonic cancer presenting as acute appendicitis in young patients


Department of Surgery, University of Benin , PMB 1111, Benin City, Nigeria

Correspondence Address:
M I Momoh
Department of Surgery, University of Benin , PMB 1111, Benin City
Nigeria
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This study was aimed to highlight that carcinoma of colon may underly acute appendicitis in young patients. Three patients were seen with features of acute appendicitis and had appendectomy done, but did they not get better. They were subsequently managed as cases of chronic intestinal obstruction due to adhesions and ear(v humls for variable periods of time. Two of them had exploratory laparotomy much later at which malignant tumors were found with direct spr ad beyond the serosa of bowel. The third patient died and, was at autop!)y, found to have carcinoma in the hep tic flexure of the colon with extensive direct and metastatic spread to the liver. The three cases highlight that appendicitis and carcinoma of right colon could co-exist in an unsuspecting age group. We advocate that impite of the Low incidence of colonic cancer in the second and third decades of life Medical Practitioners should be mindful of the possibility of a predisposing malignant colonic lesion.


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