Open AccessMucocele of appendix
Author(s) -
Sunil Chawla,
Gupta Ak,
Gagandeep Singh,
Ravi Shankar Lal
Publication year - 2016
Publication title -
medical journal of dr. d y patil university/medical journal of dr. d.y. patil university
Language(s) - English
Resource type - Journals
eISSN - 2278-7119
pISSN - 0975-2870
DOI - 10.4103/0975-2870.194195
Subject(s) - mucocele , appendix , pseudomyxoma peritonei , medicine , abdomen , presentation (obstetrics) , radiology , quadrant (abdomen) , general surgery , surgery , paleontology , biology
Mucocele of appendix develops due to obstructive dilatation of the appendix leading to intraluminal accumulation of mucoid material. The incidence is 0.2-0.7% of all appendectomied specimens. Clinical presentation is atypical. The patient presents with pain and lump in the right lower quadrant of the abdomen. Therefore, it may be misdiagnosed as an appendicular lump. It is important to differentiate between these two pathologies before surgery and select adequate surgical approach. If not treated, the mucocele may progress, and pseudomyxoma peritonei may develop, which has a high mortality. We present a case of 45-year-old serving soldier where the mucocele of appendix was diagnosed preoperatively on abdominal ultrasonography and computed tomography scan. Lap converted to open appendicectomy was performed because no pathologic process was found at the base of the appendix, and lymph nodes were not enlarged. Histopathologic diagnosis was mucocele of the appendix