Appendiceal Mucocele - A Review of Literature with a Case Report

Author:

Vekic Berislav1,Markovic Rade2,Cvetkovic Aleksandar12,Stojanovic Bojan12,Spasic Marko12,Markovic Nenad12,Pavlovic Mladen12,Petrovic Dusica3,Milosevic Bojan12,Jevdjic Jasna14,Vulovic Maja5,Jovanovic Dalibor3,Mitrovic Slobodanka3

Affiliation:

1. University of Kragujevac, Faculty of Medical Sciences , Department of Surgery , Kragujevac , Serbia

2. Department of General and Thoracic Surgery , Clinical Center Kragujevac , Serbia

3. University of Kragujevac , Faculty of Medical Sciences, Department of Pathology , Kragujevac , Serbia

4. Department of Anesthesiology , Clinical Center Kragujevac , Serbia

5. University of Kragujevac , Faculty of Medical Sciences, Department of Anatomy , Kragujevac , Serbia

Abstract

Abstract Background: Appendiceal mucoceles represent neoplastic and non-neoplastic, dilatated, mucus filled appendix vermiformix. Appendectomy is obligatory due to a possible malignancy. It is crucially important to avoid rupturing of the mucocele because it can result in pseudomyxoma peritonei, with high morbidity and mortality. Case Report: We presented a 52-year-old man with pain and palpable mass in the lower right quadrant of the abdomen. The mucocele was removed without a rupture, and the patient was discharged from the surgical department one day after the surgery without a complication. Discussion: The resection must be done very carefully, because the rupture of a mucocele can cause pseudomyxoma peritonei, a very dangerous and often lethal condition. Due to the concern of rupture, we performed the classical resection through laparotomy. Conclusion: It is very important, especially for young, inexperienced surgeons to be aware of this rare diagnosis and perform a surgical intervention according to the guidelines of good clinical practice.

Publisher

Walter de Gruyter GmbH

Subject

General Medicine

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