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Malignant Tumours Mimicking Complicated Appendicitis and Discovered upon Follow-Up after Percutaneous Drainage: A
Sharandran Chandra Mohan1, Krishna Mohan Gummalla1, Martin Weng Chin H'ng1
1Diagnostic Radiology Department, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433.
Abstract:
The conservative management of periappendiceal abscesses is gaining favour due to decreased morbidity and improved clinical outcomes for patients. Occasionally however an abscess can mask underlying sinister pathology. In this article, we highlight two cases of appendiceal adenocarcinoma that were initially diagnosed as periappendiceal abscesses and managed conservatively with percutaneous drainage. We also discuss clinical and imaging features that may assist with identifying a hidden malignancy when presented in these situations.
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