There are two instances of secondary inflamed appendices in senior patients that might make for intriguing clinical notes.
Case 01.
A 78 year-old man with RLQ colicky pain for one month and loose stool. Ultrasound detected an appendiceal lump with a big appendix which was #69x17mm containing mixed fluid. The cecum was uncertainty a tumoral mass #72×48mm with air inside. Sonologist noted a rupture of appendiceal mucocele which made an appendiceal lump unveiled the cecum.
But MSCT noted an inflamed cecum as edema of the cecum wall and a fluid-filled appendix as appendiceal mucocele.
Report of surgery was cecum cancer and a dilated acute appendicitis.
Case 02:
A 78 year-old man with acute RLQ pain.
Ultrasound detected a #38mm cecum cancer which caused dilated appendicitis. Later MSCT confirmed the cecum cancer and the appendicitis which was compressed by the colon tumor.
The right colon tumor and the nearby appendix filled with fluid were discovered during surgery.
DISCUSSION
Appendicitis seldom develops in senior patients above the age of 70. This might be because the appendix's tip and the colon's lymph tissue were underdeveloped.
The issue of appendix blockage brought on by colon tumor compression may be explained by the two appendicitis instances with colon cancer mentioned above.
Given that the etiology of appendicitis remains uncertain, it is important to reveal the presence of colon cancer in older patients.
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