Mucocele of the appendix: A comprehensive case report and literature review
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Date
2024-12
Journal Title
Journal ISSN
Volume Title
Publisher
Wolters Kluwer – Medknow
Abstract
Appendiceal mucocele, a rare condition characterized by the accumulation of mucus in the appendix, presents a diagnostic challenge due to its nonspecific clinical features. We present the case of a 60-year-old female with recurrent right lower quadrant abdominal pain, nausea, and anorexia, suggestive of appendicular origin. Abdominal ultrasound revealed a hypoechoic cystic mass, prompting further investigation with magnetic resonance imaging (MRI), which confirmed an inflamed appendix. Exploratory laparotomy revealed a retroperitoneal cavity containing mucous gelatinous material, indicative of a mucocele. Histopathological examination confirmed extensive mucosal sloughing, neutrophilic infiltrate, lymphoma cells, and muciphages, along with areas of dystrophic calcification and fibrosis. The patient recovered postoperatively and remained symptom-free during follow-up. Appendiceal mucocele poses a diagnostic challenge due to its variable presentation and resemblance to other abdominal pathologies. Radiological imaging plays a crucial role in diagnosis, with abdominal ultrasound and MRI aiding in preoperative evaluation. Surgical resection remains the cornerstone of management, with laparotomy preferred to avoid mucocele rupture.
Description
Keywords
Appendix, mucocele, pain
Citation
Neog Bhaskar Jyoti, Gupta Subodh, Rastogi V. K., Passi Paras. Mucocele of the appendix: A comprehensive case report and literature review. Indian Journal of Community & Family Medicine. 2024 Dec; 10(2): 148-151