RESUMO
The appendixis the second primary site for neuroendocrine tumors. The management of incidentelly discovered neuroendocrine tumor of the appendiceal base less than 20 mm in diameter is still controversal. The aim of this study was to discuss the management of such tumors. Three patients were operated on for acute appendicitis. Histopathologic examination of surgery specimens revealed neuroendocrine tumors of the appendiceal base less than 20 mm in diameter. Since no one presented with poor prognostic factors, no complementary right hemicolectomy was performed. No recurrence was observed. The existence of poorprognostic factors at histopathologic examination should indicate complementary right hemicolectomy for incidental neuroendocrine tumor of the appendiceal base less than 20 mm in diameter.
Assuntos
Apendicectomia/métodos , Neoplasias do Apêndice/cirurgia , Tumores Neuroendócrinos/cirurgia , Adulto , Neoplasias do Apêndice/diagnóstico , Neoplasias do Apêndice/patologia , Apendicite/diagnóstico , Apendicite/patologia , Apendicite/cirurgia , Apêndice/patologia , Apêndice/cirurgia , Feminino , Humanos , Achados Incidentais , Masculino , Pessoa de Meia-Idade , Tumores Neuroendócrinos/diagnóstico , Tumores Neuroendócrinos/patologia , PrognósticoRESUMO
We report a case of spontaneous transverse colon volvulus in a young healthy woman. It constitutes an unusual case since it occurred in a young healthy woman with a subacute onset and no aetiological factor has been found. Its diagnosis is still challenging. Prompt recognition with emergency intervention constitutes the key to successful outcome.
