CC BY 4.0 · European J Pediatr Surg Rep. 2021; 09(01): e61-e64
DOI: 10.1055/s-0041-1728723
Case Report

Delayed Detection of a Carcinoid Tumor after Conservative Therapy for Appendicitis in a 13-Year-Old Boy and a 17-Year-Old Girl

Leonie Annina Korsch
1  Department of Pediatric Surgery and Urology, Kliniken der Stadt Köln gGmbH, Cologne, Germany
,
Thomas Michael Boemers
1  Department of Pediatric Surgery and Urology, Kliniken der Stadt Köln gGmbH, Cologne, Germany
,
Peter Zimmermann
2  Department of Pediatric Surgery, University of Leipzig, Leipzig, Germany
,
Martin Stenzel
3  Department of Pediatric Radiology, Kliniken der Stadt Köln gGmbH, Cologne, Germany
,
Wera Wendenburg
1  Department of Pediatric Surgery and Urology, Kliniken der Stadt Köln gGmbH, Cologne, Germany
› Author Affiliations

Abstract

Acute appendicitis is common in children and adolescents. Recently, conservative antibiotic treatment is regarded to be a safe approach to treat uncomplicated appendicitis. It is already established as initial treatment in cases of perforated appendicitis with perityphlitic abscess, commonly followed by interval appendectomy. We report on a 13-year-old boy with uncomplicated appendicitis and a 17-year-old girl with complicated, perforated appendicitis and perityphlitic abscess in whom initially successful antibiotic treatment led to a delay in detection of a carcinoid tumor (neuroendocrine tumor, NET) of the appendix. NET of the appendix, with an incidence of 0.03 to 0.8% in the pediatric population undergoing appendectomy for acute appendicitis, are usually incidental findings after appendectomy with no secure method for detection prior to surgery. Raising concern about this rare but severe disease, we recommend information of patients and their parents about the potential risk of belated diagnosis before opting for conservative their treatment of acute appendicitis. Furthermore, patients successfully treated conservatively require a close follow-up by ultrasound. In presence of any conspicuous finding, especially on imaging, appendectomy should be considered.



Publication History

Received: 02 July 2019

Accepted: 06 March 2021

Publication Date:
10 November 2021 (online)

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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