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 127
- Downloads 0
Colon Polyps with All Features: Third Step Center Experience in the Eastern Mediterranean
Introduction: Colon polyps are proliferative and neoplastic lesions which originate from the mucosa, submucosa and protrude into the lumen. With this study, we aimed to reveal the demographic data, histopathological feat...
Development of Hodgkin Lymphoma in a Patient with Common Variable Immunodeficiency
No Summary.
Investigation of Subclinical Cardiotoxicity in Chronic Leukemia Patients with Non-invasive Tests
Introduction: This study aimed to investigate the left ventricular function and electrocardiographic findings in patients with chronic leukemia receiving and not receiving chemotherapy during a one-year follow-up. Metho...
Intraoperative Cholangiography in Laparoscopic Cholecystectomy: Technique and Changing Indications
Introduction: Although laparoscopic cholecystectomy (LC) is considered as the “gold standard” of cholecystectomy, the rate of bile duct injuries seems to be elevated when compared to open cholecystectomy. Intraoperative...
Unexpected Histopathological Findings After Laparoscopic Sleeve Gastrectomy
Introduction: The prevalence of obesity is increasing all over the world. Laparoscopic sleeve gastrectomy (LSG) has become the most common bariatric surgery in the world today. Unlike other bariatric surgeries, laparosco...