Preoperatively diagnosed mucocele of the appendix

Area of Science:

• Gastroenterology
• Surgical Pathology

Background:

• Mucocele of the appendix is an uncommon condition characterized by mucus accumulation within the appendiceal lumen.
• It is frequently asymptomatic and diagnosed incidentally, posing a risk of rupture leading to pseudomyxoma peritonei if left untreated.

Observation:

• This report details a case of a 37-year-old asymptomatic female.
• Incidental diagnosis was made via routine ultrasound and confirmed with computed tomography scan.
• Surgical exploration revealed an enlarged appendix (84 mm x 40 mm).

Findings:

• The final pathological diagnosis was a simple mucocele of the appendix.
• The size of the appendix was significantly increased due to the mucoid substance accumulation.

Implications:

• This case underscores the utility of imaging modalities like ultrasound and CT scans in the preoperative diagnosis of appendiceal mucocele.
• Management strategies, including appendectomy or right hemicolectomy, are dictated by the mucocele's size and histological findings.
• Early detection and appropriate surgical intervention are crucial to prevent complications such as pseudomyxoma peritonei.