A Case of Mucinous Carcinoma of the Appendix Caused by Intestinal Obstruction Due to Direct Invasion of the Ileum

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  • Takahashi Yoshiya
    Department of Surgery, Yaeyama Hospital Department of Gastroenterological Surgery, Hirosaki University Graduate School of Medicine
  • Kagiya Takuji
    Department of Surgery, Yaeyama Hospital Department of Gastroenterological Surgery, Hirosaki University Graduate School of Medicine
  • Ichisawa Aika
    Department of Surgery, Yaeyama Hospital Department of Gastroenterological Surgery, Hirosaki University Graduate School of Medicine
  • Yamamoto Takao
    Department of Surgery, Yaeyama Hospital

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Other Title
  • 回腸への直接浸潤による腸閉塞で発症した虫垂粘液癌の1例
  • カイチョウ エ ノ チョクセツ シンジュン ニ ヨル チョウ ヘイソク デ ハッショウ シタ チュウスイ ネンエキガン ノ 1レイ

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Abstract

<p>The patient is a 51-year-old woman who was diagnosed with Turner syndrome in her childhood. She came to our hospital because of abdominal pain and vomiting; CT showed obstruction of the ileum by a mass lesion. When we performed the surgery, we found a stenosis caused by a neoplastic lesion in the ileum, about 10 cm from the ileocecal valve, which had invaded the tip of the appendix and the right uterine tube. Based on the patient’s history, it was considered to be a primary tumor of the gastrointestinal tract rather than a tumor of the uterine appendage. Therefore, we performed a combined ileocecal resection with resection of the invaded organs and lymph node dissection. Histopathological examination rendered a diagnosis of mucinous carcinoma of the appendix. We believe that a good outcome can be achieved by suspecting a primary tumor of the gastrointestinal tract and performing a radical resection.</p>

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