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[Perityphlitic abscess after perforated appendicitis with carcinoid of the appendix]
Helvetica Chirurgica Acta
|December 1, 1994
Insights
Pediatric appendix carcinoid tumors are rare, often found incidentally during appendectomy. This case highlights a rare instance of a perforated diverticulum, managed conservatively initially, followed by delayed appendectomy.
Area of Science:
- Pediatric Surgery
- Surgical Pathology
- Oncology
Background:
- Appendix carcinoid tumors are rare neuroendocrine neoplasms.
- Incidental diagnosis is common during appendectomy for other conditions.
- Pediatric cases are exceptionally infrequent.
Observation:
- A rare case of pediatric appendix carcinoid with a perforated diverticulum is presented.
- The patient initially received conservative management with antibiotics.
- A delayed appendectomy (à froid) was performed two months later.
Findings:
- Histological examination confirmed appendix carcinoid.
- The presence of a covered diverticular perforation complicated the presentation.
- Successful conservative management followed by elective appendectomy was achieved.
Implications:
- This case underscores the importance of considering rare pathologies in pediatric abdominal conditions.
- Conservative management followed by delayed appendectomy can be a viable strategy for selected cases.
- Annual follow-up is recommended for patients with appendix carcinoid tumors.
Abstract:
Appendix carcinoid in children is a rare condition which is found by accident at the histological examination of the appendix. We report on a rare case in which a covered perforation of a diverticulum had occurred. First of all the patient was treated conservatively with antibiotics and 2 months later the appendectomy à froid was performed. The annual follow-up of these patients is certainly indicated.