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Laparoscopic Right Hemicolectomy for Appendiceal Mucocele
Eva Kudelová1, Martin Grajciar2, Marek Smolar1
1Clinic of Surgery and Transplant Centre, Jessenius Faculty of Medicine, Martin, Comenius University Bratislava, Slovakia.
Acta Medica (Hradec Kralove)
|November 15, 2021
Summary
Appendiceal mucocele, an abnormal mucin accumulation, presents varied symptoms. This case highlights successful laparoscopic right hemicolectomy for a large appendiceal mucocele, emphasizing intact tumor removal.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Abdominal Imaging
Background:
- Appendiceal mucocele (AM) is a rare condition, occurring in 0.07-0.63% of appendectomies.
- Defined by abnormal intraluminal mucin accumulation, AM can manifest asymptomatically or mimic acute appendicitis.
Observation:
- Clinical presentation ranges from asymptomatic right lower quadrant masses to acute appendicitis-like symptoms.
- Diagnosis relies on imaging modalities like CT, ultrasound, and MRI, revealing cystic masses with calcifications.
Findings:
- Surgical management focuses on complete mucocele excision to prevent mucin spillage.
- This case details the successful laparoscopic right hemicolectomy for a large appendiceal mucocele.
Implications:
- Laparoscopic right hemicolectomy is an effective treatment for large appendiceal mucoceles.
- Minimally invasive approaches can achieve complete resection and prevent complications associated with mucin spillage.
