Prudent planning in management of mucocele of appendix
| Autor: | Suman Parihar, Mohit Badgurjar, Pankaj Saxena, Jallari Vyas, Poojan Thakor |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Abdominal pain
medicine.medical_specialty Exploratory laparotomy medicine.medical_treatment Iliac fossa Mucocele Case Report Anastomosis Appendix 03 medical and health sciences 0302 clinical medicine medicine Mucinous cystadenoma Pseudomyxoma business.industry Hemicolectomy medicine.disease medicine.anatomical_structure 030220 oncology & carcinogenesis Abdomen 030211 gastroenterology & hepatology Surgery Radiology medicine.symptom business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • Mucocele of the appendix is a rare lesion of the appendix with a incidence of 0.3 to 0.7% of the appendectomies. • Clinical presentation is usually vague and asymptomatic in quarter of patients. • It requires keen mindset for proper evaluation. • Prudent planning is must to avoid inadequate treatment which adds in the morbidity of patient significantly. • And there is always risk of development of pseudomyxoma peritonei. Introduction Appendiceal mucocele is a rare obstructive dilatation of the appendix caused by intraluminal accumulation of mucoid material. Having no typical clinical picture, patients presenting with lower right quadrant abdominal pain are sometimes mistaken for acute appendicitis. An untreated mucocele may progress leading to high mortality. Case report A 47-year-old female presented with dull pain in the right lower abdomen, associated with generalized weakness and nausea since 6 months. Other than mild tenderness over the right iliac fossa. Physical and laboratory examination was insignificant. Abdominal sonography was doubtful between appendicular abscess and mucocele appendix. Dual contrast CT scan of abdomen was highly suggestive of an appendicular mucocele. Discussion The patient had a vertical midline incision exploratory laparotomy done and a cystic mass measuring 7 × 4 × 4 cm3 was found arising from the body of appendix. With suspicion of malignancy because of size, right hemicolectomy with ileotransverse anastomosis was done. Histopathological examination showed features of low grade appendiceal mucinous neoplasm. Conclusion Pre-operative diagnosis of appendicular mucocele is difficult, nevertheless, it is important for the selection of the appropriate surgical procedure in order to prevent intra-operative complications and early surgical intervention has excellent long-term prognosis. |
| Databáze: | OpenAIRE |
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