Presentation
Right iliac fossa pain and vague mass on palpation.
Patient Data
Age: 85 years
Gender: Female
From the case:
Appendiceal carcinoma
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Mass arising at the base of the appendix (separate from the ileocecal valve), expanding the lumen and causing the distal appendix to be distended and fluid-filled.
Case Discussion
Primary appendiceal tumors tend to be mucinous adenocarcinomas and are very rare. They are usually asymptomatic and present late with diffuse peritoneal metastases, i.e. pseudomyxoma peritonei.