[Severe intestinal fistulas following appendectomy].
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As a transitional zone between the small and large intestines the cecum occupies a special position in the intestine, anatomically and physiologically. This is expressed also in the manifestation of pathological processes and their symptomatology. Also the most common disease in the cecum is carcinoma. In addition, a number of other neoplasms and inflammatory processes occur. The symptomatology of all these diseases is relatively monotonous. Because of the local conditions, even the sequelae of space-occupying non-inflammatory diseases are concealed for a long time. Effective therapy is thereby delayed. The problem in by far the most common inflammatory disease, Crohn's disease, on the other hand, lies in the necessity of withholding surgical measures.
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We report on 3 cases of unusual appendiceal pathology presenting as urologic disease: 2 cases were benign mucoceles and 1 a malignant mucocele or cystadenocarcinoma of the appendix. Two cases presented as pelvic masses causing urinary frequency and the third with fever and hydronephrosis. The appendix must remain in the differential diagnosis for both acute and chronic disease processes.
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