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February 1953


Author Affiliations

From the Somerville Hospital (Dr. Ciampa, Junior Surgeon; Dr. Miles, Head of the Department of Surgery, and Dr. Andreson, Head of the Department of Radiology).

AMA Arch Surg. 1953;66(2):171-173. doi:10.1001/archsurg.1953.01260030184006

COEXISTENT cecal neoplasm with appendicular abscess is rather rare. In 1946 McLaughlin1 in a review of the literature found only 11 such cases and added 1 of his own. In 1951 Hellsten and Ramström2 of Sweden described four more cases. Thus we should be ever mindful of the fact that the differential diagnosis between an abscess in the right lower quadrant and cecal neoplasm should be made, if possible, in order to institute appropriate surgical therapy. In fact, the surgeon should be prepared to carry out ileocolic resection before laparotomy. In addition, when an appendiceal abscess is drained, one must be sure to reoperate at a later date in order to exclude any malignant growth.

REPORT OF A CASE  A 42-year-old man, a worker in a rubber factory, was admitted to the Somerville Hospital on Jan. 8, 1951, with a history of sudden constipation of two days' duration.

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