Primary lymphoma of appendix presenting as acute appendicitis: A case report

Giuseppe Caristo, Guido Griseri, Rosario Fornaro, Antonio Langone, Angelo Franceschi, Veronica Errigo, Cecilia Ferrari, Marco Casaccia, Marco Frascio, Angelo Schirru

Research output: Contribution to journalArticlepeer-review


Introduction: Primary lymphomas of appendix are extremely rare tumors. The incidence is 0.015% of all gastrointestinal lymphomas. Presentation of case: We present a case of a 75 year-old male patient who presented with acute abdominal pain in the lower right quadrant and fever. Discussion: The patient received laparotomic appendectomy. The definitive histopathological examination revealed the presence of diffuse large cell B-lymphoma of the appendix. The neoplasms of appendix usually manifest clinically with sign and symptoms of acute appendicitis from luminal obstruction (30–50%). Preoperative diagnosis is difficult and often occurs through histopathological examination. Conclusion: Primary appendiceal lymphoma is rare and there are no clear guidelines for therapy. Primary surgical resection followed by post-operative chemotherapy showed high efficacy. The histopathological examination of all appendectomy is essential.

Original languageEnglish
Pages (from-to)30-33
Number of pages4
JournalInternational Journal of Surgery Case Reports
Publication statusPublished - Jan 1 2018


  • Acute appendicitis
  • Appendix
  • Case report
  • Lymphoma

ASJC Scopus subject areas

  • Surgery


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