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Ureteral obstruction caused by mucocele of the appendix: MDCT findings
1Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Abstract:
Mucocele of the appendix is characterized by distension of the appendiceal lumen due to abnormal accumulation of mucoid substance. Among the known complications of appendiceal mucocele, it is known to be unusual for the appendiceal mucocele to be a cause of ureteral obstruction. Only a few reports have been published in the English literature. We describe a case of right hydronephroureterosis secondary to appendiceal mucocele diagnosed with multidetector-row CT.
Insights
Appendiceal mucocele, an abnormal accumulation of mucus in the appendix, rarely causes ureteral obstruction. This case highlights a rare instance of right hydronephroureterosis secondary to appendiceal mucocele, diagnosed via CT scan.
Area of Science:
- Urology
- Gastroenterology
- Radiology
Background:
- Mucocele of the appendix involves abnormal mucus accumulation, distending the appendiceal lumen.
- Complications of appendiceal mucocele are typically intra-abdominal, with ureteral obstruction being exceptionally rare.
Observation:
- A case presented with right hydronephroureterosis, indicating blockage of the right ureter and kidney.
- The condition was diagnosed using multidetector-row computed tomography (MDCT).
Findings:
- The appendiceal mucocele was identified as the cause of the right hydronephroureterosis.
- This represents a rare presentation of appendiceal mucocele leading to urinary tract obstruction.
Implications:
- Highlights the importance of considering gastrointestinal causes for urinary tract abnormalities.
- Emphasizes the diagnostic utility of MDCT in identifying rare causes of ureteral obstruction.
- Contributes to the limited English literature on appendiceal mucocele causing ureteral issues.
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