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Mucocele of the Appendix: A Presentation
Mahendra Pratap Singh1, Tanweerul Huda2
1Department of General Surgery, All India Institute of Medical Sciences, Bhopal, India.
Surgery Journal (New York, N.Y.)
|September 22, 2022
Summary
Appendiceal mucocele, an obstructive mucus buildup in the appendix, was successfully treated with ileocecal resection. This surgical approach ensured complete tumor removal and prevented recurrence in a 3-year follow-up.
Area of Science:
- Gastroenterology
- Surgical Oncology
Background:
- Appendiceal mucocele is a rare condition characterized by mucus accumulation within the appendix.
- It can present with non-specific abdominal pain, mimicking other gastrointestinal disorders.
Observation:
- A 60-year-old male with diabetes presented with 2 months of right lower quadrant pain.
- Contrast-enhanced computed tomography (CECT) revealed a distended appendiceal lumen with narrowing at the cecal junction, consistent with appendiceal mucocele.
Findings:
- Exploratory laparotomy confirmed a significantly distended appendix (4 cm diameter) and dilated cecum.
- Ileocecal resection with side-to-side anastomosis achieved an R0 resection, confirmed by histopathology.
- Three-year postoperative follow-up with CECT and colonoscopy showed no evidence of recurrence.
Implications:
- Ileocecal resection is an effective surgical treatment for appendiceal mucocele.
- This approach allows for complete tumor removal and favorable long-term outcomes.
- R0 resection and regular follow-up are crucial for managing this condition.
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