Euroasian Journal of Hepato-Gastroenterology

Register      Login

VOLUME 6 , ISSUE 2 ( July-December, 2016 ) > List of Articles

CASE REPORT

Giant Appendicular Mucocele Due to Mucinous Cystadenoma

Mehmet Sertkaya, Arif Emre, Eyüp Mehmet Pircanoglu, Onur Peker, Emrah Cengiz, Mustafa Karaagaç

Citation Information : Sertkaya M, Emre A, Mehmet Pircanoglu E, Peker O, Cengiz E, Karaagaç M. Giant Appendicular Mucocele Due to Mucinous Cystadenoma. Euroasian J Hepatogastroenterol 2016; 6 (2):186-189.

DOI: 10.5005/jp-journals-10018-1197

License: CC BY-NC 4.0

Published Online: 01-07-2016


Abstract

Mucocele of the appendix is a rare clinicopathological entity simulating acute appendicitis. The most common form of the mucocele is cystadenoma, which is characterized by luminal dilatation producing large amounts of mucin. We present a new case of a giant mucocele of appendix with mucinous cystadenoma. A 61-year-old female was admitted with complaints of severe lower right quadrant pain. Ultrasonography and computed tomography (CT) suggested that it was a mucocele, but due to severity of pain, she underwent an emergency operation. Fortunately, without a perforation, it was a giant mucocele and the operation was terminated with an uneventful appendectomy with segmental cecal resection. The histopathological evaluation of the specimen reported to be a mucocele with mucinous cystadenoma with negative surgical margins. The patient was discharged postoperative 6th day, and a control colonoscopy and abdominal CT was planned for 6 months following surgery. Appendicular mucocele is rare and difficult to diagnose preoperatively, and sometimes it may be of large size which increases the risk of perforation. Pseudomyxoma peritonei (PP) is the most feared complication of mucocele perforation. Appendectomy with negative margins is a requirement for adequate treatment for most cases. Utmost care should be taken during surgery to avoid perforation of mucocele.


PDF Share
  1. Rabie ME, Al Shraim M, Al Skaini MS, Alqahtani S, El Hakeem I, Al Qahtani AS, Malatani T, Hummadi A. Mucus containing cystic lesions "mucocele" of the appendix: the unresolved issues. Int J Surg Oncol 2015 Mar;2015:139461
  2. Appendiceal mucocele: clinical and imaging features of 14 cases. Chirurgia (Bucur) 2014 Nov-Dec;109(6):788-793
  3. Appendicular mucocele: possibilities and limits of laparoscopy. brief series and review of the literature. Chirurgia (Bucur) 2015 Nov-Dec;110(6):530-537
  4. Giant mucocele of the appendix in pregnancy: a case report and review of literature. Int J Surg Case Rep. 2015 Feb;9: 95-97
  5. Appendiceal mucocele mimicking urolithiasis. Ulus Cerrahi Derg 2013 May;29(2):88-91. Available from: http://dx.doi. org/10.5152/UCD.2013.18
  6. Low-grade appendiceal mucinous neoplasm mimicking an adnexal mass. Rom J Morphol Embryol 2015;56(Suppl 2):837-842
  7. Four mucinous cystadenoma of the appendix treated by different approaches. Ulus Cerrahi Derg 2014 Jun;30(2):97-99
  8. Collision tumor of the appendix: mucinous cystadenoma and carcinoid. A case report. Chirurgia (Bucur) 2014 Nov-Dec;109(6):843-845.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.