Appendiceal Mucocele Spontaneously Drained into the Cecum: Report of a Case
Journal Title: Istanbul Medical Journal - Year 2020, Vol 21, Issue 3
Abstract
We aimed to present a case of appendiceal mucocele who was admitted with abdominal pain, operated under elective conditions and found to have been spontaneously drained from the root of the appendix to the colon in surgical exploration. A 41-year-old male patient was admitted to the emergency department with abdominal pain. In clinical examination; tenderness, rebound and defense in the lower right quadrant of abdomen and leucocytosis were detected. Computerized tomography scan showed the appearance of a cystic dilated appendix. After resolution of the physical examination findings based on the antibiotic treatment, we decided to perform elective surgery. In surgical exploration, ileocecal resection was performed by determining the mucocele of the appendix that had been spontaneously drained from the root of the appendix into the cecum lumen. On the sixth day after the operation, he was discharged without complications. Histopathological examination revealed high-grade appendiceal mucinous neoplasia. Our patient’s follow-up in the first year after the surgery revealed no recurrence. The patient is disease-free at the end of his first postoperative year. The mucocele of the appendix is a cystic neoplasia containing mucin and its perforation during surgery may result in the development of pseudomyxoma peritonei in the late period. In our case, the fact that the lesion was spontaneously drained into the lumen of the colon reduced the risk of the mucocele rupturing and spreading into the abdomen during surgery.
Authors and Affiliations
Tunç Eren, Aman Gapbarov, Fatih Akkın, Mehmet Sait Özsoy, Özgür Ekinci, Orhan Alimoğlu
Keywords
Related Articles
- EP ID EP685090
- DOI 10.4274/imj.galenos.2020.56244
- Views 123
- Downloads 0
Giant Anterior Staphyloma After Bomb Explosion
A 64-year-old male patient was admitted to our clinic complaining of pain in his left eye. Three years ago, the patient was hit in the left eye by a metal object during an in-car bomb explosion. The patient had a giant a...
Baseline SUV Range for Liver and Blood Pool in Patients Undergoing F-18 Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography
Introduction: The aim of the study was to define the baseline SUVmax range in the liver and blood pool of patients undergoing fluorodeoxyglucose-positron emission tomography/computed tomography (FDG-PET/CT) imaging. Met...
Penetrating Lung Injury Caused by a Close-range Blank Cartridge: Case Report
A 17-year-old male was brought to the emergency department with chest injury by a gunshot from a blank cartridge (BC). No bullet or fragment was seen in the radiological examination. The patient underwent left thoracotom...
Common Findings in Endoscopic Gastric Biopsies in Southeastern Anatolia: Effects of Eating Habits and Helicobacter Pylori Infection
Introduction: Roasted and spicy food (mainly hot pepper) consumption is very common in Southeastern Anatolia. Smoked and spicy diets and Helicobacter pylori (H. pylori) infection are known risk factors for gastric cancer...
Assessment of the Efficacy of Interventions for the Treatment of Sleep Respiratory Disorder in Chronic Heart Failure Patients: A Systematic Review
One of the most important problems of heart failure (HF) patients is sleep disturbance. In HF patients with obstructive and central sleep apnea, hypoxia, hypercapnia and over-excitation of the sympathetic system are obse...