title: Urologic manifestations of acute appendicitis secondary to metastatic cervical cancer.
abstract: Acute abdominal pain may be attributed to a variety of medical or surgical conditions. Acute appendicitis, a common entity in differential diagnosis, may present with diverse clinical manifestations. It may occasionally mimic urogenital disorders and be particularly challenging to diagnose in women. We report a 34-year-old woman who had undergone radical hysterectomy 2 years previously for stage Ib cervical cancer. She presented with lower abdominal pain, dysuria, and fever of 2 days duration, unrelieved by 5 days of antibiotics. Computed tomography revealed an enlarged appendix surrounded by an abscess, and appendectomy was performed. Pathologic examination of the surgical specimen revealed metastatic cervical cancer in the appendix. Patients with acute appendicitis may manifest with urologic disorders that can be caused by metastatic tumor.
authors.affiliation: Department of Internal Medicine, Mackay Memorial Hospital, Taitung Branch, Taitung, Taiwan.
authors.forename: Ming-Jong
authors.initials: MJ
authors.lastname: Bair
authors.forename: Ping-Heng
authors.initials: PH
authors.lastname: Lee
authors.forename: Yu-Jan
authors.initials: YJ
authors.lastname: Chan
mesh_terms: D000208:Acute Disease; D000328:Adult; D001063:Appendiceal Neoplasms / Q000150:complications* / Q000556:secondary*; D001064:Appendicitis / Q000209:etiology*; D005260:Female; D006801:Humans; D014570:Urologic Diseases / Q000209:etiology; D002583:Uterine Cervical Neoplasms / Q000473:pathology*