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Case Report
©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Apr 16, 2023; 11(11): 2576-2581
Published online Apr 16, 2023. doi: 10.12998/wjcc.v11.i11.2576
Autoimmune encephalitis after surgery for appendiceal cancer: A case report
Yan-Hui Mao, Lu Li, Li-Ming Wen, Jia-Min Qin, Ya-Ling Yang, Li Wang, Fan-Rong Wang, Yi-Zhou Zhao
Yan-Hui Mao, Lu Li, Li-Ming Wen, Jia-Min Qin, Ya-Ling Yang, Li Wang, Department of Gastroenterology, Sichuan Mianyang 404 Hospital, Mianyang 621000, Sichuan Province, China
Fan-Rong Wang, Department of Pathology, Sichuan Mianyang 404 Hospital, Mianyang 621000, Sichuan Province, China
Yi-Zhou Zhao, Department of Medical Imaging, Sichuan Mianyang 404 Hospital, Mianyang 621000, Sichuan Province, China
Author contributions: Mao YH followed-up the patient and wrote the paper; Li L participated in the treatment and management of patient; Wang FR, Zhao YZ and Wang L collected the data; Qin JM and Yang YL helped to correct the article; Wen LM conceptualized the idea and finalized the manuscript; All authors have read and approve the final manuscript.
Informed consent statement: Since the patient is deceased, informed written consent was obtained from the relatives of patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Li-Ming Wen, MD, Chief Doctor, Department of Gastroenterology, Sichuan Mianyang 404 Hospital, No. 56 Yuejin Road, Mianyang 621000, Sichuan Province, China. scmy404yy@sina.com
Received: February 19, 2023
Peer-review started: February 19, 2023
First decision: February 28, 2023
Revised: March 7, 2023
Accepted: March 17, 2023
Article in press: March 17, 2023
Published online: April 16, 2023
Processing time: 45 Days and 21.5 Hours
Core Tip

Core Tip: Tumors (paraneoplastic) are one of the etiologies of autoimmune encephalitis (AIE). However, there are no reports of AIE occurring after surgery for appendiceal cancer. This report we describes a 47-year-old man who was transferred to our hospital due to a recurrent low intestinal obstruction and a right hemi-colectomy was performed with an ileo-transcolon anastomosis and laparoscopic exploration. But he developed a disturbance of consciousness on postoperative day 6, and diagnosed with AIE at last. We report this case in the hope of giving some guidance to clinicians with similar challenging cases.

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