1986 Volume 28 Issue 1 Pages 154-161
In our hospital we experienced one case of mutinous cystadenocarcinoma accompanied with ulcerative colitis. A 53-year-old woman suddenly developed mucous bloody diarrhea several times a day, during her hospital visits for therapy of duodenal ulcer. She was admitted to our hospital for detailed examinations. Barium enema study showed lead-pipe configuration, loss of haustra and small dots of barium in the entire colon, and the distended appendix filling with lots of mucuslike subsances. Endoscopic pictures also showed hyperemic and friable mucosa and the enlarged orifice of the appendix. Ileocolectomy and right oophorectomy were performed. Histological examination showed ulcerative colitis and mucinous cystadenocarcinoma of the appendix with localized pseudomyxoma peritonei. Meastasis of the regional lynph nodes were not identified. From the clinical course and radiological and endoscopic findings of the patient, it was considered that adenocarcinoma of the appendix primarily developed, not connected with ulcerative colitis.
