From Diagnosis to Management; Mucocele of Stump Appendicitis, Extremely Rare Finding in an Uncommon Surgical Disease: Literature Review

Ali, Syed Muhammad; Al‐Tarakji, Mohannad; Shahid, Fakhar; Qabani, Amjad Salah; Shah, Amjad Ali; Ahmed, Khalid; Khan, Muhammad; Inamullah, .

doi:10.1155/2021/8816643

Cited by 3 publications

(3 citation statements)

References 28 publications

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“…Appendiceal mucocele is confirmed by a low-to-mixed attenuated, well encapsulated, round or tubular cystic mass adjacent to the caecum. [ 16 ] Colonoscopy can be used to assess other colonic lesions and to diagnose synchronous or metachronous colonic cancers. Mucocele appendix is indicated by a mount-like elevation of the appendix orifice (volcano sign) and yellowish mucus discharge.…”

Section: Discussionmentioning

confidence: 99%

Three Cases of Appendiceal Mucocele

Hassan¹,

Anees²,

Peer³

et al. 2022

Saudi Journal of Medicine &Amp; Medical Sciences

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Appendiceal mucocele is an appendicular dilatation secondary to the intraluminal accumulation of mucous material. Adequate pre-operative diagnosis and surgical resection remains the standard management. Here, we present three cases of appendiceal mucocele. In the first case, a 60-year-old female presented with signs and symptoms of acute appendicitis and was admitted and operated. An inflamed distended globular cystic mass of appendix measuring 10 × 6 × 4 cm with a wide base was found and the patient underwent right hemicolectomy. In the second case, a 30-year-old male with symptoms and signs of acute appendicitis was admitted to the emergency department. An open surgery was performed and a distended, tense, and inflamed appendix without perforation of size 6 × 1 × 1 cm was discovered and removed. The diagnosis of mucocele appendix was suspected and confirmed by postoperative dissection of the specimen and histopathology. In the third case, a 25-year-old female patient was subjected to diagnostic laparoscopy in view of non-specific pain abdomen. A diagnosis of mucocele of appendix was made intraoperatively and removed using a specimen bag. Appendiceal mucocele with acute presentation is a rare pathology that clinically resembles acute appendicitis. Preoperative detailed investigations to reach a definitive diagnosis are critical for adequate surgical resection and overall outcome.

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Section: Discussionmentioning

confidence: 99%

Three Cases of Appendiceal Mucocele

Hassan¹,

Anees²,

Peer³

et al. 2022

Saudi Journal of Medicine &Amp; Medical Sciences

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“…Appendiceal mucocele is the accumulation of mucoid material in the lumen of the appendix. Although there are no differences between benign and malignant cases, it is crucial recognizing this entity in order to prevent the spillage of the mucus during surgery for avoiding grave complications such as pseudomyxoma peritonei [ 12 ].…”

Section: Imaging Of the Digestive Systemmentioning

confidence: 99%

Extra-Gynecological Pelvic Pathology: A Challenge in the Differential Diagnosis of the Female Pelvis

et al. 2022

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Ultrasound technology with or without color Doppler allows a real-time evaluation of the entire female pelvis including gynecologic and non-gynecological organs, as well as their pathology. As ultrasound is an accurate tool for gynecological diagnosis and is less invasive and less expensive than other techniques, it should be the first imaging modality used in the evaluation of the female pelvis. We present a miscellany of non-gynecological pelvic images observed during the realization of gynecological ultrasound. Transvaginal and transabdominal ultrasound is the first choice among diagnostic techniques for the study of the female pelvis, providing information about gynecological and extra-gynecological organs, allowing for an orientation toward the pathology of a specific organ or system as well as for additional tests to be performed that are necessary for definitive diagnosis.

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“…Due to the continual improvement and frequent use of imaging methods, especially the application of plain and enhanced CT, the preoperative diagnosis rate of patients has been significantly improved, but there remains differing opinions on its prognosis and treatment methods (5,6). A few experts suggest appendiceal mucous cysts are a benign disease with a tendency towards forming malignant lesions, whereas others suggest that appendiceal mucous cysts may also divide into benign and malignant lesions (7,8). Certain patients may develop edema and inflammation, and possibly a perforated…”

Section: Introductionmentioning

confidence: 99%

Retrospective analysis of 9 cases of appendiceal mucocele in 3,071 cases of appendicitis

Gao

Chu

Zheng³

et al. 2022

Biomed Rep

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Appendiceal mucocele is a rare disease. Due to the lack of specific clinical symptoms, and the high misdiagnosis rate before operation, in the present study, the clinical data were assessed to determine a potential basis for the diagnosis and treatment of appendiceal mucocele. The clinical data of 3,071 patients with appendicitis admitted between January 2014 and July 2021, including 9 patients with appendiceal mucoceles were retrospectively analyzed. The data were retrieved from the hospital records and included the patients' age, sex, leukocyte counts (measured in the peripheral venous blood sample), the surgical methods, the pathological results and the postoperative follow-up information. Among the 3,071 patients with appendicitis, 9 cases were appendiceal mucocele. These 9 were treated by laparoscopic surgery in 6 cases (2 laparoscopic appendectomy, 2 laparoscopic partial cecectomy plus appendectomy, and 2 laparoscopic right hemicolectomy) and laparotomy in 3 cases (partial cecectomy plus appendectomy). Pathological examination was performed on the surgically resected specimens of all patients. The results showed that 7 cases were appendiceal mucoceles, and 2 cases were low-grade appendiceal mucoceles. During the follow-up after surgery, one patient with exploratory laparotomy plus partial cecectomy and appendectomy was pathologically diagnosed with low-grade appendiceal myxoma. The patient developed peritoneal implants appeared 2 years later, and the remaining patients are still alive, without any postoperative complications or obvious signs of recurrence. Appendiceal mucocele is a disease that usually causes clinical manifestations of acute appendicitis. Ultrasound and CT scans can be used for preoperative diagnosis. The surgical treatment options for mucoceles are open or laparoscopic appendectomy, cecectomy, and right hemicolectomy. Although the incidence of appendiceal mucocele is low, special attention should be paid to surgery due to its predisposition to peritoneal implantation and metastasis. Laparoscopic appendectomy with partial cecectomy is not a difficult procedure and is not likely to cause abdominal implantation metastasis, thus it should be the preferred surgical method. When conditions permit, intraoperative rapid cryotherapy can quickly identify the occurrence of malignant tumors.

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From Diagnosis to Management; Mucocele of Stump Appendicitis, Extremely Rare Finding in an Uncommon Surgical Disease: Literature Review

Cited by 3 publications

References 28 publications

Three Cases of Appendiceal Mucocele

Three Cases of Appendiceal Mucocele

Extra-Gynecological Pelvic Pathology: A Challenge in the Differential Diagnosis of the Female Pelvis

Retrospective analysis of 9 cases of appendiceal mucocele in 3,071 cases of appendicitis

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