[An unusual presentation of a periappendicular infiltrate].
A 17-year-old boy presented with an atypical manifestation of acute appendicitis. The clinical aspect, radiological investigations and peroperative aspect of the appendix were not conclusive but nevertheless a neuroendocrine tumour (carcinoid tumour) of the appendix was suspected. After ileocaecal resection and resection of pathological lymph nodes, histopathological evaluation revealed the diagnosis: a periappendicular mass without any sign of malignancy. In retrospect, ileocaecal resection was performed for a benign disease. This case illustrates that an unusual presentation of a common disease occurs more frequently than a typical presentation of a rare disease.
Kinderchirurgisch Centrum Amsterdam, locatie Emma Kinderziekenhuis AMC, Meibergdreef 9,1105 AZ Amsterdam. klaskebooij@hotmail.com
K A C
KA
Booij
S
S
van Eeden
E
E
Ghazi Hosseini
F J W
FJ
ten Kate
D C
DC
Aronson
D015746:Abdominal Pain / Q000209:etiology; D000293:Adolescent; D001064:Appendicitis / Q000473:pathology* / Q000601:surgery*; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male
Een ongebruikelijke manifestatie van een periappendiculair infiltraat.