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[Mucocele of the appendix].

Miguel Echenique-Elizondo1, Carlos Liron de Robles, José Antonio Amondarain Arratíbel

  • 1Universidad del País Vasco, Departamento de Cirugía, Hospital Donostia, San Sebastián, Guipúzcoa, España. gepecelm@sc.ehu.es

Cirugia Espanola
|November 21, 2007
PubMed
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Appendiceal mucoceles are rare, with over 40% of cases associated with other neoplasms. Long-term monitoring is recommended due to the risk of pseudomyxoma peritonei.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Pathology

Background:

  • Appendiceal mucoceles are uncommon, representing 0.25% of appendectomies and 8% of appendiceal tumors.
  • This study reviews 27 cases of appendiceal mucocele treated over a 28-year period.

Purpose of the Study:

  • To analyze the clinical presentation, management, and outcomes of appendiceal mucocele.
  • To investigate the association of appendiceal mucoceles with other neoplasms and pseudomyxoma peritonei.

Main Methods:

  • Retrospective review of 27 appendiceal mucocele cases treated at Donostia Hospital (1978-2006).
  • Analysis of patient demographics, surgical indications, operative findings, and follow-up data.

Main Results:

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  • The average patient age was 54.4 years, with a slight male predominance (55.5%).
  • Emergency surgery was performed in 62.9% of cases, often for lower right abdominal pain.
  • A significant finding was the 40.7% incidence of synchronous or metachronous neoplasms in other locations; three patients developed pseudomyxoma peritonei.

    • Conclusions:

    • Appendiceal mucoceles require vigilant long-term monitoring.
    • The potential association with other neoplasms and the risk of pseudomyxoma peritonei necessitate ongoing surveillance.