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N o v e m b e r 2 3 - 2 4 , 2 0 1 8 | B a n g k o k , T h a i l a n d
Joint Event on
OF EXCELLENCE
IN INTERNATIONAL
MEETINGS
YEARS
Pharma Summit 2018 & Gastro Summit 2018 Asian Journal of Biomedical and Pharmaceutical Sciences | ISSN: 2249-622X | Volume 8
&
GLOBAL PHARMA SUMMIT
GASTROENTEROLOGY AND HEPATOLOGY
2nd International Conference on
Haidar Muad Gamil et al., Asian J Biomed Pharmaceut Sci 2018, Volume 8 | DOI: 10.4066/2249-622X-C5-014
RIGHT COLON ADENOCARCINOMA
MISDIAGNOSED AND TREATED AS
COMPLICATED APPENDICITIS IN ADULT
PATIENTS: CASE REPORT
Haidar Muad Gamil1 and Sharaf Nuha Ahmed2
1Al Gamhoria Teaching Hospital, Yemen
2Al-Naqeeb Private Hospital, Yemen
Introduction: Acute appendicitis is the most common surgical diagnosis
of right lower abdominal pain in young adult patients, that usually required
emergency surgical intervention. It diagnosis mostly made on clinical and
non-invasive diagnostic modalities background, although other rare patholo-
gies including right colonic tumour must be concerned specially in suspicious
presentation or in older patients. We reported an adult patient presented and
diagnosed as a case of acute complicated appendicitis that operated laparo-
scopically, subsequently he underwent for life saving laparotomy, and finally
diagnosed as colonic adenocarcinoma.
Cases Report: A 55 years oldmale diagnosed as perforated appendicitis. Lap-
aroscopic intervention for appendectomy revealed dilated inflamed cecum
with catarrhal appendix. Several days after improvement and discharged, pa-
tient came with peritonitis. Laparotomy revealed rupture cecum and proximal
right colonic ring stricture. The resected hemi colonic segment histology re-
vealed adenocarcinoma.
Discussion: The diagnosis of right colonic tumour is difficult in emergency
condition because appendicitis is the dominant expected diagnosis in adult
patients, the absence of colonic emergency complications (perforation and
obstruction), and the inaccurate scanning study.
Conclusion: Right colonic-cecal adenocarcinoma
is a rare entity, it can be presented as cecaitis in
adult patient, and the improper diagnosis of it may
lead to incomplete surgical management and sub-
sequent fatal complications.
Figure1 Cecal dilation which suspected cecum
Figure 2: Laparoscopic view of the inflamed
perforated appendicitis by scanning report.
Figure3 Plain erect abdominal X-ray showing air
two cecal perforations.
Figure 4: 1-ring stricture colonic mass. 2- under
diaphragm.
BIOGRAPHY
Haidar Muad Gamil had completed the master’s degree
(MSc) from Aden University. He is a General and laparoscop-
ic surgeon working in the sgeneral surgery department, and
endoscopic diagnostic unit at Al Gamhoria teaching hospital.
He is the head of general and laparoscopic surgery depart-
ment in Al-Naqeeb hospital (Aden/Yemen). He is the Member
of European Society for Trauma and Emergency surgery (ES-
TES), and International Society of Abdominal Compartment
Syndrome (ISACS). He had participated and attended numer-
ous local and international surgical courses and conferences
and have some international publications in reputed journals.