# Acute Appendicitis as a First Presentation of Unimetastatic Gastric Adenocarcinoma

## TL;DR

A rare case of gastric cancer first showing as appendicitis is reported, highlighting unusual cancer spread patterns.

## Contribution

Adds a rare case of gastric adenocarcinoma presenting as appendicitis with no other metastases.

## Key findings

- Acute appendicitis was the first sign of gastric adenocarcinoma with appendiceal metastasis.
- No other metastatic lesions were found in the patient.
- This case contributes to understanding gastric cancer's unusual spread patterns.

## Abstract

Appendicitis is one of the most common causes of abdominal surgery emergencies worldwide. Here, we report a case of acute appendicitis as a primary presentation of gastric adenocarcinoma with appendiceal metastasis and no evidence of other lesions. This case can be added to only a few other reported cases, showing a similar situation that can help clarify the spread of gastric adenocarcinoma.