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September 22, 1997

Carcinoid Tumor in the Appendix in a Patient With Acquired Immunodeficiency Syndrome

Author Affiliations

Daytona Beach, Fla

Bunnell, Fla

Arch Intern Med. 1997;157(17):2016. doi:10.1001/archinte.1997.00440380126015

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We report a case of a 31-year-old woman with acquired immunodeficiency syndrome and a history of pneumonia due to Pneumocystis carinii, diarrhea due to Clostridium difficile, and bactermia who presented with acute onset of pain in the right lower quadrant, fever, and chills. The patient was asymptomatic before the onset of presenting symptoms. The results of a physical examination indicated the following: a temperature of 38.3°C; marked tenderness in the right lower quadrant without rebound tenderness; and the absence of bowel sounds and a palpable mass. The patient was taken to the operating room with a preoperative diagnosis of a perforated appendix. Laparoscopic findings included a perforated appendix tip and a dilated, thickened cecal wall without free fluid in the peritoneal cavity. The surgical pathologic results indicated a carcinoid tumor of the appendix and acute appendicitis with perforation. Subsequently, a helical computed tomographic scan of the abdomen and pelvis indicated

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