title: Unusual presentation of an appendiceal malignancy.
abstract: Primary malignant epithelial tumors of the appendix are uncommon. The most common presentation of appendiceal malignancy is right lower abdominal pain suggestive of acute appendicitis. Presentation caused by loco-regional spread with involvement of neighboring organs is rare. We present the case of a 48-year-old woman with an appendiceal malignancy who presented with symptoms and signs suggestive of complicated diverticular disease with an enterovaginal fistula. From a review of the literature, this is the first report of an appendiceal malignancy presenting in this manner.
authors.affiliation: Department of Surgery, The Adelaide and Meath Hospital, Tallaght, Dublin, Ireland.
authors.forename: O N
authors.initials: ON
authors.lastname: Tucker
authors.forename: P
authors.initials: P
authors.lastname: Madhavan
authors.forename: V
authors.initials: V
authors.lastname: Healy
authors.forename: M
authors.initials: M
authors.lastname: Jeffers
authors.forename: F B V
authors.initials: FB
authors.lastname: Keane
mesh_terms: D002288:Adenocarcinoma, Mucinous / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D001063:Appendiceal Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D004238:Diverticulitis / Q000175:diagnosis; D005260:Female; D006801:Humans; D007412:Intestinal Fistula / Q000175:diagnosis; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D014624:Vaginal Fistula / Q000175:diagnosis