Acute appendicitis in elderly continue to be a diagnostic dilemma as it raises both the suspicion of malignancy and increased risk of morbidity and
mortality. Cancers of the appendix are rare and most of them are found accidentally on appendectomies performed for acute appendicitis. When
reviewed, the majority of the tumors were carcinoid, adenoma, and lymphoma. Adenocarcinomas of appendix are only 0.08% of all cancers and
the treatment remains controversial. This paper presents a case of 75-year-old female presented to the emergency (ER) with signs and symptoms
mimicking acute appendicitis. Laparoscopic appendectomy was planned after a CT scan was done as it was suggesting acute appendicitis. The
specimen then was sent for pathology lab and a diagnosis of adenocarcinoma of the appendix was made.
Keywords: Acute Appendicitis, Appendicitis in elderly, Tumor of the appendix, Adenocarcinoma of the appendix, CT scan edenoma.
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