case_images: PMC11805582_01
case_images: Computed tomography scan of the appendix in the axial (A), coronal (B), and sagittal (C) views. The appendix appears thickened and inflamed, dilated up to 16 mm with prominent nearby lymph nodes.
case_images: cureus-0017-00000078700-i01.jpg
case_images: PMC11805582_01_cureus-0017-00000078700-i01.jpg
case_images: FIG1
case_images: Also, there were prominent lymph nodes adjacent to the appendix (Figure 1).
case_images: Labels A and B display the entire cross-section of the appendix, showing the lumen filled with nests of the neuroendocrine tumor. Label A, the 20X magnification, shows residual lymphoid aggregates in the center, while label B is the 100X magnification.
case_images: cureus-0017-00000078700-i02.jpg
case_images: PMC11805582_01_cureus-0017-00000078700-i02.jpg
case_images: FIG2
case_images: Pathology slides from the laparoscopic appendectomy are below (Figures 2-4).
case_images: Label A depicts the neuroendocrine tumor infiltrating into the periappendiceal adipose tissue at 20x magnification.
case_images: cureus-0017-00000078700-i03.jpg
case_images: PMC11805582_01_cureus-0017-00000078700-i03.jpg
case_images: FIG3
case_images: Pathology slides from the laparoscopic appendectomy are below (Figures 2-4).
case_images: Labels A and B depict a lymph node partially replaced by a tumor. The nests' neuroendocrine tumor cells appear more eosinophilic on the left side of the micrograph. Sheets of lymphocytes appear more blue on the right of the photograph. Label A is the 600x magnification, and label B is the 40x magnification of said invasive cells.
case_images: cureus-0017-00000078700-i04.jpg
case_images: PMC11805582_01_cureus-0017-00000078700-i04.jpg
case_images: FIG4
case_images: Pathology slides from the laparoscopic appendectomy are below (Figures 2-4).
case_images: A CT scan showing the axial (A), coronal (B), and sagittal (C) views. Status post appendectomy with surgical staple line, mild thickening of the cecal wall, multiple prominent lymph nodes, largest 2.1 cm x 1.5 cm with shotty subcentimeter retroperitoneal lymph nodes.
case_images: cureus-0017-00000078700-i05.jpg
case_images: PMC11805582_01_cureus-0017-00000078700-i05.jpg
case_images: FIG5
case_images: The patient obtained a repeat CT with IV and oral contrast (Figure 5).
case_images: CT scan showing the axial (A), coronal (B) and axial (c) views . Scattered tiny retroperitoneal and mesenteric lymph nodes, most are at the root of the mesentery and appear overall somewhat smaller than prior, small vague indeterminate ground glass focus in the left base measuring 11 mm (consider follow-up Fleischner criteria).
case_images: cureus-0017-00000078700-i06.jpg
case_images: PMC11805582_01_cureus-0017-00000078700-i06.jpg
case_images: FIG6
case_images: The most recent CT scans obtained at the time of writing this report are presented in Figure 6.