Rare cases of appendicitis presented in KIMS Amalapuram, India: a clinical study

M. Uday Kiran, B. Rakesh, L. Hari Prasad Rao, P. Avinash, D. Amrita Manjusha, Tejo Krishna K., M. V. B. Raghuveer, Prasanth Pinnaka, D. Navya Sesha Harika, Sundeep P.


RIF pain is a hall mark of acute appendicitis until proven otherwise decision making in a case of acute appendicitis may be difficult for junior surgeons hence we aimed at analysis in RIF pain. Out of 120 cases we found 3 rare entities they are PMP, CT of appendix and perforated appendix in LIF. Pseudomyxomaperinei and carcinoid tumour are rare presentations. Despite the current standard of treatment modalities as extensive surgical resection combined with chemotherapy, PMP and CT frequently recurs with treatment options being limited at recurrence and with severe impact on quality of life. Perforated appendix in LIF is also a rare presentation which needs appendicectomy, perforation closer with omental patch.


CT carcinoid tumour, PMP Pseudomyxomaperinei

Full Text:



Bailey and love textbook of surgery 26th edition, chapter 71, Taylor and Francis group, LLCCRC press is an imprint of Taylor and Francis group, an Onforma Business; 2013:1199.

Owen TD, Williams H, Stiff G, jenkinson LR, Reces BI. Evaluation of the alvardo score in acute appendicitis. J R Soc Med. 1992:85:87-8.

Fraenkel E. On the Sogennate pseudomyxoma pertonei. Munch Mud Wochenschr. 1901;48:965-71.

Moertel CL, Weiland LH, Telander RL. Carcinoid tumors of the appendix in the first two decades of life. J Pediatr Surg. 1990;25:1073-5.

Moertel CG, Weiland LH, Nagorney DM, Dockerty MB: Carcinoid tumours of the appendix: treatment and prognosis. N Engl J Med. 1987;317:1699-701.

Godwin JD. Carcinoid tumors: an analysis of the 2837 cases. Cancer. 1975;36:560-9.

Parkes SE, Muir KR, Al Sheyyab M, Cameron AH, Pincott JR, Raafat F, et al. Carcinoid tumours of the appendix in children 1957-1986: incidence, treatment and outcome. Br J Surg. 1993;80:502-4.

Fernandes MN, Neiva IN, de Assis Camacho F, Meguins LC, Fernandes MN, Meguins EM. Three-port laparoscopic cholecystectomy in a brazilian amazon woman with situs inversus totalis: surgical approach. Case Rep Gastroenterol. 2008;2:170-4.

Song JY, Rana N, Rotman CA. Laparoscopic appendectomy in a female patient with situs inversus: case report and literature review. JSLS. 2004;8:175-7.

Smeenk RM, Verwaal VJ, Zoetmulder FA. Pseudomyxoma pertonnei, cancer Treat Rev. 2007;33:138-45.

Kreel L, Bydder GM. Computed tomography of fluid collections within the abdomen. J Comput Tomogr. 1980;4:105-15.

Sulkin TV, O’Neill H, Amin AI, Moran B. CT in pseudomyxomaperitonei: a review of 17 cases clinic. Radiol. 2002;57:608-13.

Buy JN, Malbec L, Ghossain MA, Guinet C, Ecoiffer J. Magnetic resonance imaging of pseudomyxoma peritonei. Eur J Radiol. 1989;9:115-8.

Thirlby RC, Kasper CS, Jones RC. Metastatic carcinoid tumors of the appendix: report a case and review of the literature. Dis Colon Rectum. 1984;27:42-6.

Doede T, Foss HD, Waldschmidt J. Carcinoid tumors of the appendix in children-epidemiology, clinical aspects and procedure. Eur J Pediatr Surg. 2000;10:372-7.

Pelizzo G, La Riccia A, Bouvier R, Chappuis JP, Franchella A. Carcinoid tumors of the appendix in children. Pediatr Surg, Int. 2000;17:399-402.

Machado NO, Chopra P. Laparoscopic cholecystectomy in a patient with situs inversus totalis: feasibility and technical difficulties. JSLS. 2006;10:386-91.

Akbulut S, Ulku A, Senol A, Tas M, Yagmur Y. Left-sided appendicitis: review of 95 published cases and a case report. World J Gastroenterol. 2010;16:5598-602.

Djohan RS, Rodriguez HE, Wiesman IM, Unti JA, Podbielski FJ. Laparoscopic cholecystectomy and appendicectomy in situs inversus totalis. JSLS. 2000;4:251-4.

Werth R. Clinical and anatomical examinations on the theory of the abdominal wall and the laparoma. Archiv Fur Gynakologie. 1884;24:100-18.