Torsion of a mucocele of the appendix in a pregnant woman

Abstract

A case of torsion of a large appendicular mucocele presenting as acute abdomen in a 38-week pregnant woman is reported. Ultrasound showed a localized cystic lesion with internal echoes on the right side of the abdomen. It was diagnosed preoperatively as twisted ovarian cyst. The patient was treated surgically with cesarean section and curative appendectomy.

Volvulus of an Appendiceal Mucocele: Report of a Case

“…Torsion of the appendix is rarely caused by a mucocele and we have found only sporadic reports since its initial description in 1946. [2][3][4][5][6][7][8][9] The mechanism of torsion of an appendiceal mucocele seems to be similar to that of torsion of the ovary or appendix epiploicae. A short segment of normal appendix and mesoappendix connecting the cystic mass to the cecum acts as a fulcrum on which the distal appendix with the mucocele can twist around its own axis.…”

“…1 Torsion complicating an appendiceal mucocele has rarely been reported [2][3][4][5][6][7][8][9] and despite recently described specifi c ultrasonographic and radiologic features, preoperative diagnosis is unusual. [10][11][12] We report the case of a young woman who presented with clinical symptoms of acute appendicitis.…”

Mucocèle de l'appendice sur tumeur carcinoïde pendant la grossesse

“…Le diagnostic peut se faire au décours d'un tableau d'appendicite aiguë [4,6], ou d'une complication à type de torsion ou encore de rupture [7,8]. Dans ces cas, le diagnostic est difficile.…”

Acute Intestinal Obstruction - A Rare Presentation of Mucinous Cystadenoma of Appendix

“…They may present as acute appendicitis or as an abdominal mass. [5] Other rare presentations include intestinal intussusception, [5] torsion, (6) or ureteral obstruction. (7) However, in our case it presented as acute intestinal obstruction.…”