title: Adenocarcinoma of the appendix in pregnancy: a case report.
abstract: BACKGROUND
  Perforation of an adenocarcinoma of the appendix in a pregnant woman is rare and may present as a pelvic mass and acute appendicitis.
  
  
  METHODS
  A 30-year-old woman, gravida 3, para 2-0-0-2, presented at 26 weeks' gestation with an acute abdomen, right-sided pelvic mass and uterine contractions. Tocolysis and prompt surgical exploration revealed a perforated appendix. The patient underwent a right hemicolectomy with primary anastomosis, her postoperative course was benign, and she delivered a viable infant at term vaginally. Pathology revealed a perforated adenocarcinoma of the appendix. The patient was free of disease at 36 months.
  
  
  CONCLUSIONS
  Adenocarcinoma of the appendix in pregnancy is rare, may present as an acute abdomen with a mass and is managed with right hemicolectomy.
authors.affiliation: Department of Obstetrics and Gynecology, Jersey Shore Medical Center, Neptune, NJ 07754, USA.
authors.forename: Daniel R
authors.initials: DR
authors.lastname: Morgan
authors.forename: Carlos O
authors.initials: CO
authors.lastname: Fernandez
authors.forename: Carney
authors.initials: C
authors.lastname: DeSarno
authors.forename: William J
authors.initials: WJ
authors.lastname: Mann
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology; D000230:Adenocarcinoma / Q000473:pathology / Q000601:surgery; D001063:Appendiceal Neoplasms / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000473:pathology / Q000601:surgery; D011262:Pregnancy Trimester, Second; D013997:Time Factors; D016896:Treatment Outcome