A Rare Cause of Abdominal Pain: A Case of Appendiceal Mucocele

Herein, we present an appendiceal mucocele cystadenoma case with right lower quadrant pain and palpable mass who was followed up with the pre-diagnosis of plastron appendicitis in the context of the literature.

📌 3 Key Takeaways

🎯

Objective & Hypothesis:Appendiceal mucocele is a rare clinical condition characterized by dilatation of the appendix lumen due to abnormal mucin secretion.

📊

Key Findings & Data:It is detected in 0.2‒0.3%of appendectomy specimens.

💡

Conclusion & Impact:Herein, we present an appendiceal mucocele cystadenoma case with right lower quadrant pain and palpable mass who was followed up with the pre-diagnosis of plastron appendicitis in the context of the literature.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Mukosel · apendiks · kistadenom

Abstract

Appendiceal mucocele is a rare clinical condition characterized by dilatation of the appendix lumen due to abnormal mucin secretion. It may be due to inflammatory conditions or neoplastic lesions. Mucocele may occur as a result of mucosal hyperplasia, mucinous cystadenoma or mucinous cystadenocarcinoma histopathologically. Mucinous cystadenoma is the most common form and it manifests itself as many different clinical pictures. It is detected in 0.2‒0.3%of appendectomy specimens. As preoperative diagnosis is often difficult, it is generally detected during laparotomy. Appendiceal mucocele is a clinical challenge for surgeons due to its risks of perforation and dissemination. Although there is no consensus for type of surgical treatment, appendectomy or right hemicolectomy are usually prefered. Herein, we present an appendiceal mucocele cystadenoma case with right lower quadrant pain and palpable mass who was followed up with the pre-diagnosis of plastron appendicitis in the context of the literature.

Özet

Apendiksin mukoseli, apendiks lümeninin anormal müsinöz sekresyonu sebebiyle dilatasyonu ile karakterize nadir görülen klinik bir durumdur. İnflamatuar bir duruma veya tümör kaynaklı olabilir. Mukosel, mukozal hiperplazi, müsinöz kistadenom veya müsinöz kistadenokarsinom sonucunda oluşabilir. Apendiks müsinöz kistadenomu en sık görülen şekli olup çok farklı klinik durumlarla kendini belli eder. Apendektomi spesimenlerinin %0.2‒0.3’ünde saptanır. Preoperatif tanı konması zordur ve sıklıkla laparotomide saptanır. Rüptür riski, klinik olarak cerrahları zorlamaktadır. Cerrahi planlanmasında tam bir konsensus olmamakla birlikte genellikle apendektomi ya da sağ hemikolektomi ameliyatları uygulanır. Bu yazımızda plastron apendisit tanısıyla takip edilip sağ alt kadran ağrısı ve kitle saptanan apendiks mukosel olgusunu literatür eşliğinde tartıştık.

Keywords

Mukosel apendiks kistadenom Mucocele appendix cystadenoma appendectomy

🔖

Cite This Article

PEHLİVANLI, F., KARACA, G., DAPHAN, Ç. E., EROĞLU, A. O., VURAL, S., COŞKUN, F. (2018). A Rare Cause of Abdominal Pain: A Case of Appendiceal Mucocele. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi, Cilt: 20 - Sayı: 3, 345–348. https://ajindex.com/articles/175209

📄 Full Text PDF Viewer

Open in New Tab ↗

↗New Tab

📄

PDF görüntüleyici hazırlanıyor...

References (14)

Aho AJ, Heinonen R, Lauren P. Benign and malignant mucocele of the appendix. Histological types and prognosis. Acta Chir Scand. 1973;139(4):392-400
Aydin O, Aydin G, Pircaoğlu E, Civelek S, Pehlivanlı F, Karaca G. A Rare appendiceal anomaly: agenesis of the vermiform appendix. KÜ Tıp Fak Derg. 2017;19(1):37-40
Dhage-Ivatury S, Sugarbaker PH. Update on the surgical approach to mucocele of the appendix. J Am Coll Surg. 2006;202(4):680-4
Aydin O, Pehlivanli F, Karaca G, Aydin G, Özler İ, Daphan ÇE. Mucinous cystadenoma of the appendix. Apollo Med. 2018;15:116-7
Takahashi S, Furukawa T, Ueda J. Case report: Mucocele of the tip of the appendix. Clin Radiol. 1998;53(2):149-50
Roberge RJ, Park AJ: Mucocele of Appendix. J Emerg Med. 2006;30(3):303-6
Korkolis DP, Apostolaki K, Platoniotis GD, Tzorbatzoglou J, Karaitianos IG, Vassilopoulos PP. Mucocele of appendiceal stump due to benign mucinous cystadenoma, Anticancer Res. 2006;26(1B):635-8
Soweid AM, Clarkston WK, Andros CH, Janney CG. Diagnosis and management of appendiceal mucoceles. Dig Dis. 1998;16(3):183-6
Kılıç K, Araç M, Özer S, Özakpınar E. Appendiksin musinoz kistadenomu. Tanısal ve Girişimsel Radyoloji. 2001;7(1):128-30
Kim SH, Lim HK, Lee WJ, Lim JH, Byun JY. Mucocele of theappendix: ultrasonographic and CT findings. Abdom Imaging. 1998;23(3):292-6
Bittle MM, Chew FS. Radiological reasoning: recurrent right lower quadrant inflammatory mass. Am J Roentgenol. 2005;185(3):188-94
Brunicardi FC, Andersen DK, Billiar TR. Schwartz’s Principles of Surgery. 8th ed, NewYork. McGraw-Hill, 2005
Cotran RS, Kumar V, Robbins SL. Pathologic Basis of Disease. 5th ed, Philadelphia. W.B. Saunders Company, 1994
Rosai J. Mucinous tumor like conditions (Including so-called “mucocele”). In: Rosai J, ed. Rosai and Ackerman’s Surgical Pathology. 9th ed, Philadelphia. Elsevier Mosby, 2004:761-5.