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Mucocoele of the appendix: A case report.
Fareeha Farooqui1, Sehrish Latif1, Humera Naz Altaf1
1Department of Surgery, Shifa College of Medicine, Shifa Tameer E Millat University, Islamabad, Pakistan.
JPMA. the Journal of the Pakistan Medical Association
|June 14, 2021
Summary
This case report details a rare appendix mucinous cystadenoma presenting unusually. Surgical management was successful for this retroperitoneal pseudomyxoma without intraperitoneal spread.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Pathology
Background:
- Mucinous cystadenoma of the appendix is a rare gastrointestinal tumor, accounting for only 0.4% of GI malignancies.
- Limited literature exists on its surgical management due to its rarity.
Observation:
- A 65-year-old female presented with right iliac fossa mass and dragging sensation.
- Computed tomography suggested a parietal peritoneum abscess, but laparotomy revealed a retroperitoneal appendiceal mass with mucoid material.
Findings:
- Histopathology confirmed mucinous cystadenoma of the appendix with no malignant features.
- The patient underwent right hemicolectomy and recovered uneventfully.
Implications:
- This case highlights an unusual presentation of retroperitoneal pseudomyxoma originating from the appendix.
- It underscores the importance of considering appendiceal pathology in atypical abdominal masses.

