Prudent planning in management of mucocele of appendix

• DOI: 10.1016/j.ijscr.2021.105766
• Publication Date: 2021-03-20T07:03:10Z
• Authors: Jallari Vyas; Mohit Badgurjar; Pankaj Saxena; Suman Parihar; Poojan Thakor
• Keywords: Mucocele; Iliac fossa; Exploratory laparotomy

Appendiceal mucocele is a rare obstructive dilatation of the appendix caused by intraluminal accumulation mucoid material. Having no typical clinical picture, patients presenting with lower right quadrant abdominal pain are sometimes mistaken for acute appendicitis. An untreated may progress leading to high mortality. A 47-year-old female presented dull in abdomen, associated generalized weakness and nausea since 6 months. Other than mild tenderness over iliac fossa. Physical laboratory examination was insignificant. Abdominal sonography doubtful between appendicular abscess appendix. Dual contrast CT scan abdomen highly suggestive an mucocele. The patient had vertical midline incision exploratory laparotomy done cystic mass measuring 7 × 4 cm3 found arising from body With suspicion malignancy because size, hemicolectomy ileotransverse anastomosis done. Histopathological showed features low grade appendiceal mucinous neoplasm. Pre-operative diagnosis difficult, nevertheless, it important selection appropriate surgical procedure order prevent intra-operative complications early intervention has excellent long-term prognosis.