Appendiceal mucocele-A rare case report.
Sunil Kumar B B1, Pranav Jasuja2
1Department of Surgical Gastroenterology, JSS Medical College and Hospital, Mysore, India.
International Journal of Surgery Case Reports
|April 19, 2019
Summary
Appendiceal mucocele, mimicking appendicitis, requires accurate preoperative diagnosis for appropriate surgical planning. This case highlights the importance of advanced imaging in managing this rare condition.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Abdominal Imaging
Background:
- Appendiceal mucocele presents atypically, often mimicking acute appendicitis.
- Accurate preoperative diagnosis is crucial for selecting the optimal surgical approach (appendectomy vs. colectomy) and preventing complications.
Purpose of the Study:
- To report a rare case of appendiceal mucocele diagnosed preoperatively.
- To emphasize the role of imaging in guiding surgical management of appendiceal mucocele.
Main Methods:
- A 70-year-old female presented with chronic right iliac fossa pain.
- Ultrasound (USG) and contrast-enhanced computed tomography (CECT) were utilized for preoperative diagnosis.
- The patient underwent a midline laparotomy for surgical intervention.
Main Results:
- Preoperative diagnosis of appendiceal mucocele was established via USG and CECT.
- Intraoperative findings confirmed an 8x5 cm cystic appendix communicating with the cecum.
- Histopathology revealed Mucinous Cystadenoma with Mucocele.
Conclusions:
- Appendiceal mucocele, though rare, necessitates thorough preoperative evaluation.
- In patients over 50 with appendicitis-like symptoms, CT imaging and open surgery are recommended.
- The patient recovered well with no postoperative complications after extended right hemicolectomy.
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