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November 1959

Unusual Lesions of the Appendix

Author Affiliations

U.S. Army; U.S. Army (Res.)
From the Surgical Service, U.S. Army Hospital, Munich, Germany.

AMA Arch Surg. 1959;79(5):838-846. doi:10.1001/archsurg.1959.04320110140024

Introduction  Relatively rare conditions of the appendix are reported as isolated case reports. The finding of three unusual lesions of the appendix during 141 appendectomies, performed at U.S. Army Hospital, Munich, during the 16 months' period from Dec. 29, 1956, through April 30, 1958, is deemed worthy of reporting. The possibility of encountering such lesions at the time of appendectomy must be borne in mind in order that appropriate and adequate surgery be instituted expeditiously.As can be seen in the Table, 141 appendectomies were performed during this period. Of these, 109 revealed acute appendicitis on histologic examination; 30 showed no significant abnormality, and in 3 unusual lesions were noted. Of these three cases, associated acute appendicitis occurred in two. The unusual lesions which were encountered were (1) a noncaseating florid granulomatous lesion; (2) reticulumcell sarcoma, and (3) primary adenocarcinoma of the appendix.

Report of Cases 

Case 1.  —The patient

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