Prevention of radiation enteritis by interposition of an intra-abdominal spacer before irradiation of an appendiceal tumour abscess drainage route.

J Visc Surg

Hepato-bilio-pancreatic digestive surgery Department, Pitié Salpêtrière Hospital, Assistance publique-hôpitaux de Paris, AP-HP, 49, boulevard de l'Hôpital, 75013 Paris, France; University of Paris, UMR 1275 CAP Paris-Tech, Carcinomatosis Paris Technology, 75013 Paris, France. Electronic address:

Published: December 2022

AI Article Synopsis

  • Mucinous adenocarcinoma of the appendix may first present as an abscess around the appendix.
  • The involvement of abdominal wall muscles can complicate drainage procedures, leading to uncertainty in tumor resection.
  • To reduce potential radiation injury to the bowel during adjuvant radiotherapy, a prosthetic spacer may be used as a preventive measure.

Article Abstract

The initial presentation of a mucinous adenocarcinoma of the appendix can be a peri-appendicular abscess. The abdominal wall muscles can be invaded during radiological or surgical drainage. The management of such a tumour is complex. The resection of a drainage route can be uncertain and R1. In this case, further treatment with adjuvant radiotherapy may be necessary. One possible deleterious side effect of radiotherapy on the abdominal wall is radiation injury to the bowel. As a preventive measure, a spacer (here a breast prosthesis) can be interposed.

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http://dx.doi.org/10.1016/j.jviscsurg.2022.07.001DOI Listing

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