Related Experiment Video
Updated: Jan 10, 2026

Murine Appendectomy Model of Chronic Colitis Associated Colorectal Cancer by Precise Localization of Caecal Patch
Published on: August 24, 2019
Torsion of Appendiceal Mucinous Neoplasm: A Rare Cause of Right Lower Quadrant Abdominal Pain
Alexander F Bowers1, David M Dodson1, Alexander J Monson1
1Surgery, University of Texas (UT) Health San Antonio, San Antonio, USA.
Abstract:
Appendiceal mucinous neoplasms are rare, and torsion of the appendix is exceptionally uncommon. Rupture of an appendiceal mucinous neoplasm can lead to pseudomyxoma peritonei, a condition with high morbidity. We present the case of a 64-year-old male patient with five days of right lower quadrant abdominal pain. Cross-sectional imaging of the abdomen and pelvis revealed a five-centimeter-long, tubular, ring-enhancing lesion, concerning for a mucocele. Intraoperatively, a 360-degree appendiceal torsion was identified, prompting conversion from laparoscopy to laparotomy to avoid mucocele rupture. Pathology confirmed a low-grade appendiceal mucinous neoplasm with negative margins. The patient recovered uneventfully and remained asymptomatic at follow-up. This case underscores the deceptive presentation of a torsed appendiceal mucocele and highlights important technical considerations for optimal operative management of this pathology.
Insights
Appendiceal mucinous neoplasms are rare. This case highlights a 64-year-old male with a torsed appendiceal mucocele, emphasizing surgical considerations to prevent rupture and pseudomyxoma peritonei.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Abdominal Imaging
Background:
- Appendiceal mucinous neoplasms are rare but can lead to pseudomyxoma peritonei upon rupture.
- Torsion of the appendix is an exceptionally uncommon complication.
More Related Videos
Related Concept Videos
Appendicitis-I: Introduction
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Abdominal Regions and Quadrants
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
Appendicitis-II: Diagnostic Studies and Management
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Assessment of the Rectum and Anus
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Chronic Pancreatitis I: Introduction
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Assessment of the Abdomen III: Palpation

