Primary Non-Hodgkin Lymphoma of the Appendix mimicking acute appendicitis – A Case Report

Abstract

Extranodal involvement by NHL is a frequent in the GI tract but its origin in appendix and rare and not difficult to diagnose clinically. A 14-year-old male presented with complaints of pain in right lower abdomen and vomiting for 2 days. Clinical and radiological findings suggested acute appendicitis was rendered for which the patient was operation, on histopathological examination in contrast to the expected findings atypical lymphoid cells were seen which were positive for CD45 and CD20. A final diagnosis of B cell NHL was made.

Clinico-radiological findings of lymphoma appendix may mimic acute appendicitis. Such cases need meticulous observation and accurate histopathological diagnosis for early treatment and better prognosis.