{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T02:26:32Z","timestamp":1773973592461,"version":"3.50.1"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,6,7]],"date-time":"2022-06-07T00:00:00Z","timestamp":1654560000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Classic presentation of appendicular neoplasms in early stage includes appendicitis-like symptoms. For mucinous adenocarcinoma, it presents at an average age of 60 years, this is why when they present these symptoms a high index of suspicion must be maintained. Only one case has been reported of an appendiceal neoplasm with a thigh abscess.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case:<\/jats:title>\n                    <jats:p>We present a 65-year-old with a preoperative diagnosis of an appendiceal phlegmon with and iliopsoas and thigh abscess. Percutaneous drainage and thigh drainage were initially performed. Due to persisting fever and increased abdominal symptoms, 48 h postoperative hours, on multidisciplinary discussion, exploratory laparoscopy was decided, finding the iliac abscess and a perforated appendix. Right hemicolectomy was performed, revealing a mucinous appendicular carcinoma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Conservative management of a mass or appendiceal abscess has a high success rate and low complication rate during the initial period but despite this, some patients must undergo emergency surgery.<\/jats:p>\n                    <jats:p>Right hemicolectomy was performed because of the large inflammatory compromise and adhesions of the appendix and caecum and a more conservative approach could not be performed due to the deformation of anatomic structures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This has been a complex case, not only for its different approaches but also because of its singularity of presentation, this is why it has to be taken into account the group age that it has to be dealt with, clinical presentation, anamnesis, etc. There are no guidelines for the management of this disease but it is unquestionable that multidisciplinary management leads to better outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2022.107293","type":"journal-article","created":{"date-parts":[[2022,6,10]],"date-time":"2022-06-10T13:45:45Z","timestamp":1654868745000},"page":"107293","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Thigh and iliopsoas abscess as a rare presentation of perforated mucinous appendix carcinoma. A case report"],"prefix":"10.1097","volume":"96","author":[{"given":"Pedro","family":"Os\u00e1car","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dar\u00edo","family":"Ramallo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luisina","family":"Elizalde","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-21-20260309","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1097\/00000658-198703000-00010","article-title":"Management and outcome of retroperitoneal abscesses","volume":"205","author":"Crepps","year":"1987","journal-title":"Ann. Surg"},{"key":"R3-21-20260309","doi-asserted-by":"crossref","first-page":"1107","DOI":"10.1634\/theoncologist.2017-0081","article-title":"Appendiceal mucinous neoplasms: diagnosis and management","volume":"22","author":"Shaib","year":"2017","journal-title":"Oncologist"},{"key":"R4-21-20260309","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1097\/00000658-199401000-00009","article-title":"The natural history of surgically treated primary adenocarcinoma of the appendix","volume":"219","author":"Nitecki","year":"1994","journal-title":"Ann. Surg"},{"key":"R5-21-20260309","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1016\/j.ejso.2010.05.025","article-title":"Primary appendiceal carcinoma-epidemiology, surgery and survival: results of a German multi-center study","volume":"36","author":"Benedix","year":"2010","journal-title":"Eur. J. Surg. Oncol"},{"key":"R6-21-20260309","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1007\/s00508-014-0651-0","article-title":"Thigh abscess as an extension of psoas abscess: the first manifestation of perforated appendiceal adenocarcinoma: case report","volume":"127","author":"Petrovic","year":"2015","journal-title":"Wien. Klin. Wochenschr"},{"key":"R7-21-20260309","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.ijsu.2020.10.034","article-title":"The SCARE 2020 guideline: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"84","author":"Agha","year":"2020","journal-title":"Int J Surg"},{"key":"R8-21-20260309","doi-asserted-by":"crossref","first-page":"W103","DOI":"10.2214\/AJR.08.1572","article-title":"CT diagnosis of mucocele of the appendix in patients with acute appendicitis","volume":"192","author":"Bennett","year":"2009","journal-title":"AJR Am. J. Roentgenol"},{"key":"R9-21-20260309","first-page":"36","article-title":"WSES guidelines on colon and rectal cancer emergencies: obstruction and perforation","volume":"2018","author":"Pisano","year":"2017","journal-title":"World J. Emerg. Surg"},{"key":"R10-21-20260309","doi-asserted-by":"crossref","first-page":"1021","DOI":"10.9738\/INTSURG-D-14-00179.1","article-title":"Management of appendiceal mass and abscess. An 11-year experience","volume":"100","author":"Demetrashvili","year":"2015","journal-title":"Int. Surg"},{"key":"R11-21-20260309","doi-asserted-by":"crossref","first-page":"413","DOI":"10.3393\/jksc.2010.26.6.413","article-title":"Management of appendicitis presenting with abscess or mass","volume":"26","author":"Kim","year":"2010","journal-title":"J. Korean Soc. Coloproctol"},{"key":"R12-21-20260309","doi-asserted-by":"crossref","first-page":"442","DOI":"10.1016\/j.amjsurg.2014.09.020","article-title":"Is there truly an oncologic indication for interval appendectomy?","volume":"209","author":"Wright","year":"2015","journal-title":"Am. J. Surg"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261222005399?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261222005399?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2022.107293","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T09:06:22Z","timestamp":1773047182000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2022.107293"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7]]},"references-count":11,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2022.107293","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2022,7]]}}}