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|Year : 1977 | Volume
| Issue : 1 | Page : 39
Leiomyoma of the appendix - (a case report)
AM Pai, HL Vinze, Attar Aziz, SB Shah
Municipal General Hospital, Rajawadi, Ghatkopar, Bombay 400077, India
A M Pai
Municipal General Hospital, Rajawadi, Ghatkopar, Bombay 400077
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Pai A M, Vinze H L, Aziz A, Shah S B. Leiomyoma of the appendix - (a case report). J Postgrad Med 1977;23:39
We describe below a case of leiomyoma of the appendix-a rare benign tumour, with the patient presenting clinically as a case of appendicitis.
| :: Case report|| |
A 26 year old woman was brought to the Hospital with complaints of pain in the right iliac fossa of about 30 hours' duration, and vomiting thrice since the onset of pain. There was no history of fever, diarrhoea, or passage of blood and mucus in the stool.
There was past history of attacks of pain suggestive of appendicitis off and on. On general examination, the temperature was normal, pulse rate was 90 per minute and the blood pressure was 120/80 mms. Hg. There was no lymphadenopathy. There was no icterus.
On examination of the alimentary system, there was tenderness in the right iliac fossa, No definite lump was felt. There were no other positive findings. Other systems were normal.
Blood examination showed that Haemoglobin was 11 gms. per 100 ml. Total W.B.C. count was 5,600 per cu. mm. with Neutrophils 74% -Lymphocytes 22%-Eosinophils 4%- Monocytes nil.
Urine examination did not reveal anything remarkable.
A provisional diagnosis of recurrent appendicitis was made. An appendicectomy was done under spinal anaesthesia.
The patient had an uneventful postoperative phase and was discharged 6 days after the operation.
Histo-pathology: On gross examination the appendix was normal. Histology showed a small leiomyoma in the submucosa. The other coats were normal. There was no inflammatory exudate in the lumen See [Figure 1] &[Figure 2] on page 40.
| :: Discussion|| |
Leiomyoma of the appendix is a rare tumour. It may either be asymptomatic or it may present as a case of pain in abdomen simulating appendicular pain. In the latter case it will be diagnosed as a case of appendicitis.
| :: Acknowledgements|| |
The authors are grateful to Dr. (Mrs.) Kusum Shah, Superintendent M.G. Hospital, Rajawadi, Ghatkopar, Bombay, for allowing them to report this case.
| :: References|| |
|1.||The authors regret their inability to find any reference. |
[Figure 1], [Figure 2]