Metastatic gastric signet-ring cell carcinoma: A rare cause of acute appendicitis

Ercetin C., Dural A. C., Ozdenkaya Y., Dural O., DADA H. G. M., Yegen G., ...Daha Fazla

TURKISH JOURNAL OF SURGERY, cilt.32, sa.2, ss.140-144, 2016 (ESCI) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 32 Sayı: 2
  • Basım Tarihi: 2016
  • Doi Numarası: 10.5152/ucd.2015.2863
  • Dergi Adı: TURKISH JOURNAL OF SURGERY
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.140-144
  • Anahtar Kelimeler: Acute appendicitis, gastric signet-ring cell carcinoma, metastasis, SECONDARY, TUMORS, CANCER
  • İstanbul Üniversitesi Adresli: Evet

Özet

We report a 32-year-old patient who underwent laparoscopy with classical symptoms and signs of acute appendicitis. An inflamed, edematous and non-perforated appendix, also a large amount gelatinous ascites, omental and peritoneal implants were seen. Appendectomy was performed and multiple biopsies were taken from omentum and peritoneum for definitive diagnosis. Histopathologic diagnosis was a metastatic gastric signet-ring cell carcinoma (GSRCC) involving appendix and other specimens. A flat lesion involving corpus to antrum was diagnosed by gastroscopy and GSRCC was verified histopathologically in a tertiary centre and the case evaluated as stage IV gastric carcinoma. This case with no sign of gastric cancer was presented as an acute appendicitis. Metastatic carcinoma to the appendix, causing acute appendicitis is extremely rare in clinical practice and usually associated with high morbidity and mortality.