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Case Reports
. 2025 Apr 30;2025(5):rjaf259.
doi: 10.1093/jscr/rjaf259. eCollection 2025 May.

A standardized surgical approach to appendiceal orifice tumors: a case report

Banks Ford Harris  1 , Camron Noah Collins  1 , Justin D Gerard  2
Affiliations
Case Reports

A standardized surgical approach to appendiceal orifice tumors: a case report

Banks Ford Harris et al. J Surg Case Rep. .

Abstract

The optimal management of appendiceal orifice (AO) tumors remains a topic of debate due to their anatomical complexity and the absence of a standardized surgical approach. This case report describes the successful treatment of an incompletely resected sessile serrated lesion at the AO in a 47-year-old female using a multidisciplinary strategy. Preoperative imaging, gastroenterology consultation, and intraoperative specimen evaluation guided a laparoscopic appendectomy with cecal cuff resection, achieving complete tumor removal with minimal morbidity. This approach preserved ileocecal valve function and ensured accurate pathological assessment. This case highlights key considerations, including the importance of avoiding ileocecal valve compromise and ensuring polyp retrieval for definitive pathological assessment. We propose appendectomy with cecal cuff resection as a standardized, effective technique to reduce treatment variability and mitigate incomplete resection risks in AO tumors.

Keywords: CELS; appendiceal orifice tumor; minimally invasive surgery; radical appendectomy with cecal cuff; sessile serrated lesion; surgical oncology.

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Conflict of interest statement

The author declares no conflicts of interest.

Figures

Figure 1
Figure 1
Appendiceal orifice with polyp (a); post-polypectomy incomplete resection (b).
Figure 2
Figure 2
Intraoperative view of appendectomy with cecal cuff.
Figure 3
Figure 3
Resected appendix with cecal cuff and polyp.
See this image and copyright information in PMC

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