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A case of giant appendiceal mucocele

Haldun Uluutku1, Sezai Demirbaş, Yavuz Kurt

  • 1Department of General Surgery, Hadarpaşa Tecahing Hospital of Gülhane, Military Medical Academy, Istanbul, Turkey. akinml@superonline.com

Ulusal Travma Ve Acil Cerrahi Dergisi = Turkish Journal of Trauma & Emergency Surgery : TJTES
|January 31, 2004
PubMed

Insights

Appendiceal mucocele, a rare mucus-filled appendix, can mimic other conditions. Early diagnosis via imaging and prompt surgical intervention are crucial for effective treatment in emergency settings.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Appendiceal mucocele is an uncommon condition characterized by mucus accumulation within the appendix.
  • It can present with non-specific symptoms, complicating diagnosis.

Observation:

  • A 73-year-old female presented with abdominal pain, nausea, and vomiting, exhibiting right lower quadrant tenderness, a palpable mass, and signs of peritoneal irritation.
  • Imaging studies (ultrasound and CT) revealed a cystic lesion in the right iliac fossa, initially suggestive of an abdominal abscess.

Findings:

  • Emergency surgery confirmed the diagnosis of appendiceal mucocele.
  • Treatment involved appendicectomy, partial ileal resection, and cecal resection, with histopathology verifying the diagnosis.

Implications:

  • This case highlights the importance of considering appendiceal mucocele in the differential diagnosis of acute abdominal conditions.
  • Effective management relies on a combination of advanced imaging techniques and timely surgical intervention, particularly in emergency scenarios.

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