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

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 followe...

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Autores principales:	Leonie Annina Korsch, Thomas Michael Boemers, Peter Zimmermann, Martin Stenzel, Wera Wendenburg
Formato:	article
Lenguaje:	EN
Publicado:	Georg Thieme Verlag KG 2021
Materias:	acute appendicitis conservative antibiotic treatment carcinoid tumor neuroendocrine tumor Pediatrics RJ1-570 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/892aaabd1d454828bc63022eae9a7756
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spelling	oai:doaj.org-article:892aaabd1d454828bc63022eae9a77562021-11-11T00:01:04ZDelayed Detection of a Carcinoid Tumor after Conservative Therapy for Appendicitis in a 13-Year-Old Boy and a 17-Year-Old Girl2194-76192194-762710.1055/s-0041-1728723https://doaj.org/article/892aaabd1d454828bc63022eae9a77562021-01-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1728723https://doaj.org/toc/2194-7619https://doaj.org/toc/2194-7627Acute 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.Leonie Annina KorschThomas Michael BoemersPeter ZimmermannMartin StenzelWera WendenburgGeorg Thieme Verlag KGarticleacute appendicitisconservative antibiotic treatmentcarcinoid tumorneuroendocrine tumorPediatricsRJ1-570SurgeryRD1-811ENEuropean Journal of Pediatric Surgery Reports, Vol 09, Iss 01, Pp e61-e64 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	acute appendicitis conservative antibiotic treatment carcinoid tumor neuroendocrine tumor Pediatrics RJ1-570 Surgery RD1-811
spellingShingle	acute appendicitis conservative antibiotic treatment carcinoid tumor neuroendocrine tumor Pediatrics RJ1-570 Surgery RD1-811 Leonie Annina Korsch Thomas Michael Boemers Peter Zimmermann Martin Stenzel Wera Wendenburg Delayed Detection of a Carcinoid Tumor after Conservative Therapy for Appendicitis in a 13-Year-Old Boy and a 17-Year-Old Girl
description	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.
format	article
author	Leonie Annina Korsch Thomas Michael Boemers Peter Zimmermann Martin Stenzel Wera Wendenburg
author_facet	Leonie Annina Korsch Thomas Michael Boemers Peter Zimmermann Martin Stenzel Wera Wendenburg
author_sort	Leonie Annina Korsch
title	Delayed Detection of a Carcinoid Tumor after Conservative Therapy for Appendicitis in a 13-Year-Old Boy and a 17-Year-Old Girl
title_short	Delayed Detection of a Carcinoid Tumor after Conservative Therapy for Appendicitis in a 13-Year-Old Boy and a 17-Year-Old Girl
title_full	Delayed Detection of a Carcinoid Tumor after Conservative Therapy for Appendicitis in a 13-Year-Old Boy and a 17-Year-Old Girl
title_fullStr	Delayed Detection of a Carcinoid Tumor after Conservative Therapy for Appendicitis in a 13-Year-Old Boy and a 17-Year-Old Girl
title_full_unstemmed	Delayed Detection of a Carcinoid Tumor after Conservative Therapy for Appendicitis in a 13-Year-Old Boy and a 17-Year-Old Girl
title_sort	delayed detection of a carcinoid tumor after conservative therapy for appendicitis in a 13-year-old boy and a 17-year-old girl
publisher	Georg Thieme Verlag KG
publishDate	2021
url	https://doaj.org/article/892aaabd1d454828bc63022eae9a7756
work_keys_str_mv	AT leonieanninakorsch delayeddetectionofacarcinoidtumorafterconservativetherapyforappendicitisina13yearoldboyanda17yearoldgirl AT thomasmichaelboemers delayeddetectionofacarcinoidtumorafterconservativetherapyforappendicitisina13yearoldboyanda17yearoldgirl AT peterzimmermann delayeddetectionofacarcinoidtumorafterconservativetherapyforappendicitisina13yearoldboyanda17yearoldgirl AT martinstenzel delayeddetectionofacarcinoidtumorafterconservativetherapyforappendicitisina13yearoldboyanda17yearoldgirl AT werawendenburg delayeddetectionofacarcinoidtumorafterconservativetherapyforappendicitisina13yearoldboyanda17yearoldgirl
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Delayed Detection of a Carcinoid Tumor after Conservative Therapy for Appendicitis in a 13-Year-Old Boy and a 17-Year-Old Girl

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