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RESUMEN El tumor apendicular es raro, normalmente se descubre durante una apendicectomía. Este es el caso de un varón de 21 años que ingresa por dolor abdominal, acompañado de vómitos, alza térmica y pérdida de peso. En paraclínicos hematocrito: 30,7%, hemoglobina: 10,1g/dl. Evaluado por Cirugía General, intervienen por cuadro de apendicitis aguda; los hallazgos quirúrgicos son lesiones granulomatosas, apéndice congestivo con tumoración. Se toma biopsia que revela neoplasia epitelial maligna consistente con adenocarcinoma. El paciente es dado de alta con buen pronóstico. ABSTRACT The appendiceal tumor is a rare entity; it is usually discovered during appendectomy. This is the case of a 21-year-old man admitted due to abdominal pain accompanied by vomiting, high fever, and weight loss. Paraclinical lab test results: hematocrit, 30.7%; hemoglobin, 10.1g/dl. He is examined by the General Surgery unit, and underwent surgery due to clinical signs of acute appendicitis. The surgical findings are granulomatous lesions, and congestive appendix with tumor. The biopsy performed reveals the presence of malignant epithelial neoplasm consistent with adenocarcinoma. He is eventually discharged from the hospital with good prognosis. |
