APPENDIX CARCINOMA INVADING THE URINARY-BLADDER

We report a case of an appendix carcinoma invading the urinary bladder . In contrast to other bowel tumors invading the bladder, history and symptoms were consistent with a primary bladder tumor. This is due to the unique anatomical position of the appendix where the tumor did not hinder passage of bowel contents or cause melena. Findings an physica l examination as well as diagnostic imaging and transurethral resectio n were inconclusive. Consideration of local progression of an appendix carcinoma is an important differential diagnosis. In contrast to othe r vesical or extravesical T-4 tumors, the appendix carcinoma offers a good chance for resection en bloc by right-sided hemicolectomy and par tial cystectomy.