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Metastatic Gastric Carcinoma Presenting as Acute Appendicitis
Saad Siddiqui1, Muhammad Yaseen1, Kashif Sajjad2
1Radiology, Shaukat Khanum Memorial Hospital & Research Centre, Peshawar, PAK.
Metastatic disease can rarely mimic acute appendicitis. This case highlights metastatic adenocarcinoma to the appendix in a patient with gastric cancer, emphasizing the need for awareness in diagnosing acute abdomen.
Area of Science:
- Oncology
- Gastroenterology
- Surgical Pathology
Background:
- Metastatic disease is an uncommon cause of acute abdominal symptoms.
- Gastric malignancy can present with diverse metastatic patterns.
Observation:
- A 33-year-old man with known gastric cancer presented with clinical peritonitis.
- Imaging demonstrated features consistent with acute appendicitis and appendiceal perforation.
Findings:
- Histopathology confirmed metastatic adenocarcinoma involving the appendix.
- This represents a rare presentation of gastric cancer metastasis.
Implications:
- Clinicians and radiologists must consider metastatic disease in patients with known malignancies presenting with acute abdomen.
- Prompt recognition of appendiceal metastasis can guide appropriate management and improve patient outcomes.
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