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Chronic Kidney Disease, Hypokalemia, and Appendicular Mucocele in a 66-Year-Old Man
Sanda Mrabet1, Yosr Chaabouni2, Mohamed Ben Hmida2
1Department of Nephrology, Dialysis, and Transplantation, Sahloul University Hospital, Sousse, Tunisia.
Abstract:
Appendicular mucocele (AM) is a rare and potentially malignant entity linked to obstructive dilatation of the appendix with an intraluminal accumulation of mucoid material. Most AM is asymptomatic or simulates acute appendicitis. We report an exceptional case of AM discovered in the face of hypokalemia and aggravation of chronic kidney disease (CKD) without diarrhea in an old man. Investigations led to the diagnosis of AM in its malignant form complicated by gelatinous ascites. We retained mucinous hypersecretion as the cause of hypokalemia and acute renal failure. Aggressive surgery and intraperitoneal chemotherapy corrected hydroelectrolyte imbalance.
Insights
Appendicular mucocele (AM), a rare appendix condition, can present unusually. This case highlights AM causing hypokalemia and worsening chronic kidney disease (CKD) in an elderly man.
Area of Science:
- Gastroenterology
- Oncology
- Nephrology
Background:
- Appendicular mucocele (AM) is a rare condition involving appendix dilation and mucus buildup.
- AM often presents asymptomatically or mimics acute appendicitis.
- Complications can include malignancy and electrolyte disturbances.
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