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Peculiar case of mucocele of appendiceal tip

Sridhar M1, Narayanaswamy Chetty Y V, Bagalibaba Saheb

  • 1Assistant Professor, Department of Surgery, M.S. Ramaiah Medical College , Karnataka, India .

Journal of Clinical and Diagnostic Research : JCDR
|November 2, 2013
PubMed

Insights

Mucocele of the appendix, a rare condition involving mucus buildup, typically affects the entire appendix. This case highlights a unique instance of a large mucocele confined solely to the appendix tip, posing diagnostic challenges.

Area of Science:

  • Gastroenterology and Surgical Pathology
  • Gastrointestinal Oncology

Background:

  • Mucocele of the appendix is a rare condition characterized by mucus dilation of the appendiceal lumen.
  • It accounts for 0.2-0.3% of all appendectomies, often involving the entire appendix.
  • The exact incidence of appendiceal tip mucoceles is not well-documented, with limited case reports.

Purpose of the Study:

  • To report a peculiar case of a large mucocele confined exclusively to the appendix tip.
  • To discuss the diagnostic challenges presented by this rare presentation.
  • To contribute to the limited literature on appendiceal tip mucoceles.

Main Methods:

  • Case report of a 43-year-old female patient.
  • Clinical presentation and diagnostic workup.
  • Surgical intervention and histopathological examination.

Main Results:

  • A large mucocele was identified, confined solely to the tip of the appendix.
  • Significant length of the proximal appendix remained uninvolved.
  • Pre-operative diagnosis was challenging due to the atypical location.

Conclusions:

  • Appendiceal tip mucoceles are rare and can mimic other pathologies, causing diagnostic dilemmas.
  • This case underscores the importance of considering atypical presentations of appendiceal mucoceles.
  • Further case reports are needed to understand the incidence and management of appendiceal tip mucoceles.
Keywords:
Appendiceal tipAppendixMucocele

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