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Published on: August 24, 2019
Appendicitis and benign appendiceal mucocele presenting as large bowel obstruction
Razvan C Opreanu1, Justin Sobinsky, Marc D Basson
1Department of Surgery, College of Human Medicine, Michigan State University, Lansing, MI 48912, USA.
Introduction:
Appendiceal mucocele is most commonly encountered incidentally during appendectomy.
Methods:
We report a case of large bowel obstruction presenting as a closed loop with an appendiceal mucocele as the lead point, superimposed on a chronic ileal stricture that had been misdiagnosed as irritable bowel syndrome.
Results:
The patient underwent ileocecal resection and primary anastomosis. She did well postoperatively, and her irritable bowel syndrome disappeared.
Conclusions:
Appendiceal mucocele can present in a variety of ways, and surgeons should be alert for atypical presentations. Moreover, some patients with intermittent abdominal pain deserve anatomic investigation before being dismissed as having irritable bowel.
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