Tumor carcinoide de apéndice con cuadro clínico de apendicitis aguda, intervenido de urgencia por apendicetomía por laparoscopia. Presentación de caso clínico

Abstract

Los tumores de apéndice cecal son extremadamente raros (menos del 0.5%), y los tumores carcinoides se describen como el tipo de tumor apendicular más frecuente. Se reporta el caso de un paciente de 32 años, sin antecedentes patológicos de importancia, con datos de abdomen agudo. Se decidió apendicectomía laparoscópica, presentando hallazgos de proceso inflamatorio apendicular, con reporte de histopatología de tumor neuroendocrino. Pese a que las neoplasias de apéndice son raras, la apendicitis es una presentación común, y de ahí la importancia de realizar estudios histopatológicos de toda pieza de apéndice cecal obtenida.

Condução de caso de neoplasia apendicular pós apendicectomia: Relato de caso

“…Os tumores do apêndice são considerados patologias pouco frequentes e principalmente subdiagnosticados anteriormente a uma abordagem cirúrgica (Lopes Jr et al, 2001;Da Silva et al, 2010). Estes correspondem a somente 0,5% dos tumores intestinais e possuem apresentação clínica semelhante ao quadro de apendicite aguda (Henriques et al, 2001;Reynoso-Saldaña et al, 2022). Devido a isso, metade dos casos de tumor apendicular é solucionado em um cenário de emergência hospitalar onde a conduta padrão é a realização de apendicectomia de urgência (Kameo et al, 2018;Maia et al, 2021;Da Silva et al, 2010).…”

Diagnosis of Appendiceal Neuroendocrine Tumors Following Incidental Appendectomy During Benign Gynecologic Laparoscopic Surgeries: A Case Series

“…However, neuroendocrine tumors are one of the most common neoplasms of the appendix with an incidence ranging from 0.3% to 0.9% [ 1 ]. Appendiceal neuroendocrine tumors (ANET) are most often diagnosed between forty and fifty years old, are more common amongst females, and can present as acute appendicitis or by incidental diagnosis following histopathological evaluation [ 2 , 3 ].…”

“…However, neuroendocrine tumors are one of the most common neoplasms of the appendix with an incidence ranging from 0.3% to 0.9% [1]. Appendiceal neuroendocrine tumors (ANET) are most often diagnosed between forty and fifty years old, are more common amongst females, and can present as acute appendicitis or by incidental diagnosis following histopathological evaluation [2,3]. This case series describes five separate cases of appendiceal neuroendocrine tumors diagnosed by histopathological review following incidental appendectomy during benign gynecologic laparoscopic surgeries.…”