title: Primary appendicular adenocarcinoma presenting as haematuria.
abstract: Adenocarcinoma of the vermiform appendix is a rare malignant neoplasm of the gastrointestinal tract encountered rarely within general surgical practice. We present the case of a 49-year-old man who, while undergoing investigations for haematuria, was diagnosed with an appendicular adenocarcinoma following bladder biopsy. Consequently he underwent right hemicolectomy and partial cystectomy followed by adjuvant chemotherapy. By discussing this case we hope to raise awareness within the medical profession of this rare presentation so that it may be considered within clinicians' differential diagnoses.
authors.affiliation: Department of Surgery, Plymouth Hospitals NHS Trust, Plymouth, UK.
authors.forename: Bassem
authors.initials: B
authors.lastname: Amr
authors.affiliation: Department of Respiratory Medicine, Heartlands Hospital, Birmingham, UK.
authors.forename: Natasha
authors.initials: N
authors.lastname: Santana-Vaz
authors.affiliation: Sandwell and West Birmingham Hospitals, Birmingham, UK.
authors.forename: Komal
authors.initials: K
authors.lastname: Munir
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D001063:Appendiceal Neoplasms / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D001065:Appendix / Q000601:surgery; D017024:Chemotherapy, Adjuvant; D003082:Colectomy; D003937:Diagnosis, Differential; D006417:Hematuria / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome