Appendicular mucocele diagnosed by videolaparoscopy. A case report
Keywords:
appendiceal mucocele, mucinous cystoadeno-carcinoma, appendix cecal, laparoscopicAbstract
Introduction: the term appendicular mucocele refers to the cystic dilation of the lumen in the cecal appendix due to its obstruction and the consequent accumulation of mucus. Case report: a 59-year-old female patient who came to the consultation due to pain in flank and right iliac fossa, with several weeks of evolution, and without other accompanying symptoms. The case was discussed with Radiology specialists and in view of the impossibility of reaching a diagnosis, a laparoscopy was performed. It showed a thickened, turgid cecal appendix, which seemed to have liquid content inside. It was painful and without acute inflammatory signs. Due to these characteristics, the probable diagnosis was the existence of appendicular mucocele. Conclusions: although this is a rare disease, it is very important that both Internal Medicine and Surgery specialists take this disease into consideration in the differential diagnosis of any patient who has pain in the right iliac flank and fossa or has apalpable abdominal mass at this level.Downloads
References
1. Higa E, Rosai J, Pizzimbono CA, Wise L. Mucosal hyperplasia, mucinous cystoadenoma, and mucinous cystoadenocarcinoma of the appendix. A re-evaluation of appendiceal ‘‘mucocele’’. Cancer [Internet]. 1973 Dec [citado 20 Jul 2019];32(6):1525. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/4757938
2. Van den Heuvel MG, Lemmens VE, Verhoeven RH, de HinghIH. The incidence of mucinous appendiceal malignancies: a population-based study. Int J Colorectal Dis [Internet]. 2013 Sep [citado 20 Jul 2019];28(9):1307-10. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/23695388
3. Nitecki SS, Wolf BG, Schlinkert R, Sarr MG. The natural history of surgycally treated primary adenocarcinoma of the appendix. Ann Surg [Internet]. 1994 Jan [citado 20 Jul 2019];219(1):51-57. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1243090/
4. Guelmes Domínguez AA, Sánchez Rivas CM, Rivero Rodriguez N. Tumor carcinoide del apéndice cecal. Presentación de caso. Gac Méd Espirit [Internet]. 2017 Ago [citado 2019 Ago 29];19(2): 103-109. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1608-89212017000200011&lng=es
5. Pilco P, Beltrán-Flores S, López-Burga M. Cistoadenocarcinoma mucinoso de apéndice cecal. Rev Chil Cir [Internet]. 2016 [citado 29 Ago 2019];68(4):319-322. Disponible en: https://scielo.conicyt.cl/pdf/rchcir/v68n4/art09.pdf
6. Bravo Jaramillo EL, López Lucero WN, Chacha Vivar MJ, Machado Zamora JP, Romero Zhinin LA. Caso clínico: Mucocele Apendicular. Rev Med HJCA [Internet]. 2017 Mar [citado 29 Ago 2019];9(1):85-88. https://revistamedicahjca.iess.gob.ec/index.php/RevHJCA/article/view/270/259
7. Laborí Columbié Y, Noa Lores I, Rodríguez Gil E. Mucocele apendicular. Informe de un caso. Rev Inf Cient [Internet]. 2017 [citado 29 Ago 2019];96(4):[aprox. 7 p.]. Disponible en: http://revinfcientifica.sld.cu/index.php/ric/article/view/1193
8. Rabbie ME, Al Shraim M, Al Skaini MS, Alqahtani S, El Hakeem I, Al Qahtani AS, et al. Mucus containing cystic lesions «mucocele» of the appen-dix: The unresolved issues. Int J Surg Oncol [Internet]. 2015 [citado 20 Ago 2019];2015:139461. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4386699/. http://dx.doi.org/10.1155/2015/139461
9. Akman L, Hursitoglu BS, Hortz I, Sezer T, Oztekin K, Avsargil BD. Large mucinous neoplasm of the appendix mimicking adne-xal mass in a postmenopausal woman. Int J Surg Case Rep [Internet]. 2014 [citado 29 Ago 2019];5(12):1265-7. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4275782/
10. Lam-Himlin D, Montgomery EA. The neoplastic appendix: a practical approach. Diagnostic Histopathol [Internet]. 2011 Sep [citado 29 Ago 2019];17(9):395-403. Disponible en: https://www.diagnostichistopathology.co.uk/article/S1756-2317(11)00107-1/abstract
11. De Abreu Filho JG, Fernándes De Lira E. Mucocele of the appendix – appendectomy or colectomy?. J Coloproctol [Internet]. 2011 Jul-Sep [citado 29 Ago 2019];31(3):276-84. Disponible en: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632011000300008
12. Hirano Y, Hattori M, Nishida Y, Maeda K, Duoden K, HashizumeY. Single-incision laparoscopic ileo-cecal resection for appendiceal mucocele. Indian J Surg [Internet]. 2013 Jun [citado 29 Ago 2018];75(Suppl 1):S250-2. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3693343/
Published
How to Cite
Issue
Section
License
Authors who have publications with this journal agree to the following terms:
- Authors will retain their copyright and assign to the journal the right of first publication of their work, which will simultaneously be subject to a Creative Commons License / Attribution-Noncommercial 4.0 International (CC BY-NC 4.0) that allows third parties to share the work as long as its author and first publication in this journal are indicated.
- Authors may adopt other non-exclusive license agreements for distribution of the published version of the work (e.g., depositing it in an institutional repository or publishing it in a monographic volume) as long as the initial publication in this journal is indicated.
- Authors are allowed and encouraged to disseminate their work through the Internet (e.g., in institutional telematic archives or on their web page) before and during the submission process, which can produce interesting exchanges and increase citations of the published work. (See The effect of open access).
15 junio 2025
