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[Appendiceal mucocele].

I Pospísil1, E Jaros, D N Hadzi

  • 1Chirurgická klinika FN Hradec Králové.

Rozhledy V Chirurgii : Mesicnik Ceskoslovenske Chirurgicke Spolecnosti
|December 24, 2004
PubMed
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Appendiceal mucocele, a rare condition, involves appendix obstruction causing mucus buildup. This study presents two simple appendiceal mucocele cases, highlighting diagnostic and surgical considerations.

Area of Science:

  • Gastroenterology
  • Surgical Pathology
  • Abdominal Imaging

Background:

  • Appendiceal mucocele is a rare condition, occurring in 0.07-0.4% of appendectomies, predominantly affecting females over 50.
  • Defined by appendiceal obstruction leading to lumen distension with mucoid material accumulation, it encompasses a spectrum from benign to malignant forms.
  • Histological classification includes simple mucocele, mucosal hyperplasia, cystadenoma, and cystadenocarcinoma.

Observation:

  • Two cases of simple appendiceal mucocele are discussed.
  • Case 1: A 48-year-old male presented with right lower quadrant pain, initially suspected as periappendiceal abscess on ultrasound, but revealed as appendiceal mucocele during laparotomy requiring ileocecal resection.
  • Case 2: A 65-year-old male presented with abdominal distension; laparotomy identified a cystic appendix tumor, diagnosed as simple appendiceal mucocele post-appendectomy.

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Findings:

  • Diagnosis can be suggested by abdominal ultrasound and CT scans.
  • Simple appendiceal mucocele can present with varied symptoms, including acute pain or chronic discomfort and distension.
  • Surgical management varied, with ileocecal resection in one case and appendectomy in another, based on intraoperative findings and extent.

Implications:

  • Highlights the importance of considering appendiceal mucocele in the differential diagnosis of right lower quadrant masses and pain.
  • Emphasizes the need for accurate preoperative diagnosis and appropriate surgical intervention for appendiceal mucocele.
  • Contributes to understanding the clinical presentation and management of this rare appendiceal condition.