Mucocele of the appendix is a term used to describe a dilated, mucin-filled appendix. It is most commonly the result of epithelial proliferation, but can be caused. Appendiceal mucoceles occur when there is an abnormal accumulation of mucin causing abnormal distention of the vermiform appendix due to various. Appendiceal Mucocele: A Diagnostic Dilemma in Differentiating Malignant From Benign Lesions With CT. Hao Wang1, Yong-Qi Chen2, Ran Wei1, Qing-Bing.
|Published (Last):||6 April 2004|
|PDF File Size:||13.6 Mb|
|ePub File Size:||10.7 Mb|
|Price:||Free* [*Free Regsitration Required]|
I believe that it will be a reference series that surgeons will use for years to come because of its size. All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License. An exploratory laparotomy was performed and the enlarged, thin-walled ruptured mucoceel of the appendix was resected.
Acta Obstet Gynecol Scand. There are no unique imaging characteristics to distinguish between the three groups of mucocele.
Mucocele of the Appendix: Case Report and Review of Literature
Mucoceles are frequently discovered incidentally, as most are the result of a mucinous cystadenoma that causes no inflammation 2. Dr Stocchi has done an excellent job with his presentation, and I have several questions.
Appendectomy alone should be performed only on mucinous lesions that are determined to be non-neoplastic after biopsy. The clinical presentation of mucocele in the appendix is usually unspecific, with difficult preoperative diagnosis. Sectra has recently registered a new Class Though carcinoid tumor is the most common primary appendiceal neoplasm in surgical pathology series, mucoceles due to neoplasms are the most common appendiceal tumours detected on imaging 7.
Case Reports in Oncological Medicine
In both types described, the mucus material contains epithelial adenoma cells with low or high grade of dysplasia.
It is a great honor for us to be able to present our data on this intriguing and rare condition in an attempt to make some sense out of it.
Systemic chemotherapy before cytoreductive surgery and HIPEC may improve the prognosis in patients with peritoneal mucinous carcinomatosis [ 45 ]. Surg Endosc ;12 9: The authors discuss the diagnostic workup of an appendiceal mucocele from computed tomography scanning to resection, emphasizing the influence of pathological diagnosis on the operative procedure.
Simple mucocele inflammatory, obstructive or retention cyst is characterized by degenerative epithelial changes and results in the obstruction and the distension of the appendix.
Dr Galandiuk, thank you for your comments. Differentiating benign non-neoplastic mucocele and appendoceal cystadenoma and malignant mucinous cystadenocarcinoma appendiceal lesions can be difficult. As we have said, any mucocele over 2 cm deserves excision.
Surgical Treatment of Appendiceal Mucocele
If a contrast examination is performed, there is usually non-filling or partial-filling of the appendix. Ap;endiceal and CT imaging studies are valuable for the detection of AM and can be easily performed in the emergency setting [ 161823 ]. Case 10 Case They conclude that there are a number of clinical, intraoperative, and diagnostic findings that suggest malignancy, ergo, the need for a more aggressive operation.
There is no such risk in simple mucocele, since there are no epithelial cells in the mucus. In conclusion, appendiceal mucocele is a rare disease and has a clinical picture that resembles acute appendicitis.
Mucocee Endosc ;35 5: Her clinical examination was indicative of acute abdomen with a palpable mass in the right iliac fossa. We treated some patients with P32 after debridement, and intraperitoneal injection of 5-FU and so forth. Anything with firmness ,ucocele the base certainly deserves excision. The patient had no history of surgery.
The first one defends the right colectomy as a treatment 9and the second one recommends only appendectomy A clinicopathologic analysis of cases.
The patient’s postoperative course was uneventful, and he was discharged home on postoperative day 5. Dis Colon Rectum ;43 A contrast-enhanced CT study of the abdomen and pelvis showed the appendix to be dilated to 2.
Eur J Surg Oncol. Mucosal hyperplasia, mucinous cystadenoma apprndiceal mucinous cystadenocarcinoma of the appendix. Peritonectomy and intraperitoneal hyperthermic perfusion: How effective that is I do not know.
Appendiceal mucocele | Radiology Reference Article |