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Mucocele of the appendiceal stump due to benign mucinous cystadenoma

D P Korkolis1, K Apostolaki, G D Plataniotis

  • 1First Department of Surgery, Hellenic Anticancer Institute, St Savvas Hospital, Athens, Greece.

Anticancer Research
|June 3, 2006
PubMed

Insights

Mucocele of the appendix is a rare condition causing lumen distension. This case highlights a mucocele arising from the appendiceal stump after a previous appendectomy, emphasizing diagnostic and surgical considerations.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Mucocele of the appendix is a rare appendiceal lesion characterized by mucus accumulation.
  • Preoperative diagnosis is often challenging, and untreated mucoceles can lead to serious complications like peritoneal spread.

Observation:

  • A 49-year-old woman with a prior appendectomy presented with a painful right lower quadrant abdominal mass.
  • Imaging revealed a large, cystic structure at the cecal base.

Findings:

  • Surgical exploration identified an 8x5.5 cm calcified tumor at the appendiceal stump.
  • Pathological examination confirmed a mucocele of the appendiceal stump, originating from a benign mucinous cystadenoma.

Implications:

  • This case underscores the importance of considering appendiceal stump mucocele in patients with recurrent appendiceal pathology.
  • Accurate diagnosis and appropriate surgical management are crucial to prevent complications associated with appendiceal mucoceles.

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