LOW GRADE APPENDICEAL MUCINOUS NEOPLASM (LAMN) PRESENTING AS RECURRENT PROGRESSIVELY WORSENING ABDOMINAL PAIN.
Formerly published in Vol. 6 No. 2 Jan. - Mar., 2022
Keywords:
low grade appendiceal tumour, vermiform appendix, mucinous neoplasmsAbstract
Appendiceal mucinous neoplasms are rare entities that pose diagnostic and management challenges due to their variable clinical presentation and histopathological features. Here we present a case of a 20 year male of African descent who was admitted in our facility with history of recurrent abdominal pain. The ultrasound scan of the abdomen prior to surgery showed a dilated bowel segment located in the right iliac fossa, measuring 7 cm in maximum diameter. The chest X-ray was unremarkable while the plain abdominal X-ray showed dilated vermiform appendix. The patient underwent appendectomy for suspected acute appendicitis. The intra-operative finding was that of an appendiceal mass. Histopathological examination revealed characteristic features of low grade appendiceal mucinous neoplasm, prompting further investigation and management. The patient did not shown any clinical or biochemical signs of disease recurrence 8 months postoperatively. This case highlights the importance of accurate histopathological diagnosis and multidisciplinary approach in the management of appendiceal neoplasms.
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