Mucocoele of the appendix.
| Autor: | Oyeh E; Akai House Clinic, Accra, Ghana., Nsaful J; Department of Surgery, University of Ghana Medical School, College of Health Sciences, University of Ghana.; Department of Surgery, Korle Bu Teaching Hospital., Bediako-Bowan A; Department of Surgery, University of Ghana Medical School, College of Health Sciences, University of Ghana.; Department of Surgery, Korle Bu Teaching Hospital., Gbadamosi H; Department of Radiology, Korle Bu Teaching Hospital.; Department of Radiology, University of Ghana Medical School, College of Health Sciences, University of Ghana., Mensah YB; Department of Radiology, Korle Bu Teaching Hospital.; Department of Radiology, University of Ghana Medical School, College of Health Sciences, University of Ghana., Adu-Aryee NA; Department of Surgery, University of Ghana Medical School, College of Health Sciences, University of Ghana.; Department of Surgery, Korle Bu Teaching Hospital., Nyarko V; Department of Pathology, Korle Bu Teaching Hospital. |
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| Jazyk: | angličtina |
| Zdroj: | Ghana medical journal [Ghana Med J] 2024 Mar; Vol. 58 (1), pp. 109-114. |
| DOI: | 10.4314/gmj.v58i1.15 |
| Abstrakt: | Introduction: Mucocoele of the appendix occurs in 0.2-0.7% of people in the world without any well-defined clinical symptoms. It occurs when there is an accumulation of mucous in the lumen of the appendix. Case Presentation: We present three cases: a 48-year-old male admitted to the emergency room with a one-day history of right iliac fossa pain. Abdominal examination was suggestive of acute appendicitis. The initial abdominal computerised tomography scan was reported as being unremarkable. At surgery, a firm tumour of the appendix was found, and a limited right hemicolectomy was done. Histopathology confirmed a mucocoele of the appendix with borderline mucinous histology.The second case is a 63-year-old man who presented with a one-year history of abdominal distension and weight loss. Previous abdominal ultrasound was suggestive of liver cirrhosis with significant ascitic fluid. Abdominal magnetic resonance imaging found an appendix mucocoele with infiltration of the omentum and scalloping of the liver surface suggestive of pseudomyxoma peritonei. A percutaneous biopsy of the omental mass confirmed metastatic mucinous adenocarcinoma of the appendix.The third case is a 68-year-old man who, during an annual medical check-up, had an incidental finding of a cystic right iliac fossa mass on ultrasound, confirmed on abdominopelvic computerised tomography scan to be an appendix mucocele. He had laparoscopic appendicectomy. The histopathological diagnosis confirmed a mucinous cystadenoma of the appendix. Conclusion: Preoperative diagnosis of appendiceal mucocoele is difficult and commonly discovered intraoperatively. The prognosis is good for the histologically benign type, but it is poor when malignant or peritoneal lesions are present. Funding: None declared. Competing Interests: Conflict of interest: None declared (Copyright © The Author(s).) |
| Databáze: | MEDLINE |
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