Appendiceal Mucocele - A Review of Literature with a Case Report

• DOI: 10.2478/sjecr-2021-0027
• Publication Date: 2021-11-25T20:47:12Z
• Authors: Berislav Vekic; Rade Markovic; Aleksandar Cvetkovic; Bojan Stojanovic; Marko Spasic; Nenad Markovic; Mladen Pavlovic; Dusica Petrovic; Bojan Milosevic; Jasna Jevdjic; Maja Vulovic; Dalibor Jovanovic; Slobodanka Mitrovic
• Keywords: 03 medical and health sciences; 0302 clinical medicine; 3. Good health

Abstract 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. 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. 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. 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.