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Published on: August 24, 2019
Mucocele of appendix secondary to mucinous cystadenoma
Muhammad Qasim Butt1, Sohail Saqib Chatha1, Mahwish Farooq2
1Department of Surgery, Combined Military Hospital (CMH), Kohat.
Abstract:
Mucocele of appendix is a rare disorder characterised by obstructive dilatation of the appendicular lumen by mucinous secretions. More commonly it is caused by mucinous cystadenoma and rarely by mucinous cystadenocarcinoma. Patients are often asymptomatic and may sometimes present with acute appendicitis. It is known to be associated with pseudomyxoma peritonei as a result of rupture of mucocele. A pre-operative diagnosis is necessary to plan careful resection. Ultrasonography and computed tomography are useful tools for the diagnosis of appendiceal mucocele. We report a case of appendiceal mucocele due to mucinous cystadenoma with surgical and histopathological confirmation.
Insights
Appendiceal mucocele, a rare condition of the appendix, involves lumen dilatation by mucinous secretions, often due to mucinous cystadenoma. Early diagnosis via imaging aids surgical planning for this condition, which can mimic appendicitis.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Diagnostic Imaging
Background:
- Mucocele of the appendix is a rare condition characterized by the obstruction and dilatation of the appendiceal lumen with mucinous secretions.
- It is most commonly caused by a mucinous cystadenoma and less frequently by mucinous cystadenocarcinoma.
- Appendiceal mucocele can be asymptomatic or present with symptoms mimicking acute appendicitis, and rupture can lead to pseudomyxoma peritonei.
Observation:
- This case report details an appendiceal mucocele caused by a mucinous cystadenoma.
- The diagnosis was confirmed through surgical intervention and subsequent histopathological examination.
- Imaging modalities such as ultrasonography and computed tomography were instrumental in the pre-operative diagnosis.
Findings:
- The study confirms a rare case of appendiceal mucocele attributed to mucinous cystadenoma.
- Histopathological analysis verified the diagnosis following surgical resection.
- Pre-operative imaging successfully identified the appendiceal mucocele, facilitating appropriate surgical planning.
Implications:
- Accurate pre-operative diagnosis of appendiceal mucocele is crucial for effective surgical management.
- Understanding the association with mucinous cystadenoma and potential complications like pseudomyxoma peritonei is vital.
- Diagnostic imaging plays a key role in the early detection and management of this rare appendiceal disorder.
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