Appendiceal mucocele: clinical and imaging features of 14 cases

Chirurgia (Bucharest, Romania : 1990)
|January 7, 2015
PubMed
Abstract

Insights

Diagnosing appendiceal mucocele remains challenging despite imaging advances. Surgical management requires careful measures to prevent complications like intraperitoneal rupture.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Appendiceal mucocele is a rare cystic dilatation of the appendix.
  • Preoperative diagnosis is often difficult despite advanced imaging.

Purpose of the Study:

  • To analyze clinical and imaging features of appendiceal mucocele.
  • To evaluate the diagnostic accuracy of imaging techniques for this condition.

Main Methods:

  • Retrospective analysis of patients with pathologically confirmed appendiceal mucocele.
  • Review of clinical presentation, imaging findings, and surgical outcomes.

Main Results:

  • 14 patients analyzed (mean age 51). Common symptoms: right iliac fossa pain (64%) and fullness (36%).
  • Computed tomography diagnosed appendiceal mucocele in 50% of cases.
  • Appendectomy performed in 93%; 79% were mucoceles, 21% cystadenomas. Acute appendicitis (29%) and colon cancer (7%) were incidentally found.

Conclusions:

  • Preoperative diagnosis of appendiceal mucocele remains low, even with imaging.
  • Surgical treatment necessitates precautions against intraperitoneal rupture and dissemination.

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