Turkish Journal of Pediatric Surgery

Sevgi Büyükbeşe Sarsu1, Kamil Şahin2, Ramazan Uçak3, Fatma Saraç4

1Gaziantep Çocuk Hastanesi, Çocuk Cerrahisi Kliniği, Gaziantep
2Haseki Eğitim ve Araştırma Hastanesi, Çocuk Kliniği, İstanbul
3Gaziantep Çocuk Hastanesi, Patoloji Kliniği, Gaziantep
4Haseki Eğitim ve Araştırma Hastanesi, Çocuk Cerrahisi Kliniği, İstanbul

Keywords: Appendix, lymphoma, acute appendicitis, child


Primary appendiceal lymphoma is an extremely rare malignancy which is generally surgically treated with the initial diagnosis of acute appendicitis, and its definitive diagnosis can not be made till the exact histopathological analysis In this paper a 6-year-old male child with appendiceal lymphoma presented.

Pain in right lower quadrant and thickenning in appendix wall were the only positive findings. Surgery was planned and appendectomy was performed. Macroscopically appendix was extremely edematous and appendiceal wall was thick. Microscopic analysis was evaluated as large Β-cell lymphoma. The disease was limited to appendix, and oncological treatment was not required. Following appendectomy the patient was followed by pediatric surgeons and oncologists.

This case report emphasizes the importance of careful histopathological analysis of all cases suggestive of appendicitis, especially in patients who do not demonstrate typical clinical symptoms of appendicitis.