Invasive Mucinous Neoplasm of the Appendix Masquerading as Recurrent Urinary Tract Infections: a Case Report

Invasive Mucinous Neoplasm of the Appendix Masquerading as Recurrent Urinary Tract Infections: a Case Report

Abstract We report on a case of a healthy male patient who was referred to Urology for recurrent persistent urinary tract infections. Investigation revealed a large intraabdominal inflammatory collection abutting the cecum and bladder suspicious for ruptured appendicitis and colovesical fistula. He...

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Bibliographic Details
Published in:Military medicine Vol. 185; no. 11-12; pp. e2166 - e2170
Main Authors: Ciampa, Maeghan L, Chohonis, James P, Otto, Richard S, Franklin, Benjamin T
Format: Journal Article
Language:English
Published: England Oxford University Press 30-12-2020
Subjects:
Appendiceal Neoplasms - complications
Appendiceal Neoplasms - diagnosis
Appendiceal Neoplasms - surgery
Appendicitis - diagnosis
Appendicitis - surgery
Appendix - surgery
Case reports
Chemotherapy
Humans
Laparotomy
Male
Rare diseases
Tumors
Urinary tract diseases
Urinary tract infections
Urinary Tract Infections - diagnosis
Urinary Tract Infections - etiology
Urogenital system
Urology
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Summary:Abstract We report on a case of a healthy male patient who was referred to Urology for recurrent persistent urinary tract infections. Investigation revealed a large intraabdominal inflammatory collection abutting the cecum and bladder suspicious for ruptured appendicitis and colovesical fistula. He was taken to the operating room for exploratory laparotomy with General Surgery and Urology and found to have a ruptured appendix secondary to mucinous appendiceal neoplasm with invasion into the cecum and the bladder wall. He then underwent systemic chemotherapy followed by hyperthermic intraperitoneal chemotherapy. He is well with stable right lower quadrant inflammatory collection and without evidence of metastatic disease 22 months following initial surgery. This case presents a rare presentation of a rare disease process that is easy to misdiagnose or be delayed in diagnosis because of its vague and often varied presentation.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ISSN:0026-4075
1930-613X
DOI:10.1093/milmed/usaa179