Alsubaie Nawaf R, Ibrahim Mohammed A, Nassar Mahmoud A, Alsalama Mohammad I
Department of Surgery, King Khaled Hospital, Tabuk, Saudi Arabia.
Faculty of Medicine, Zagazig University, Zagazig, Egypt.
J Surg Case Rep. 2023 Mar 10;2023(3):rjad097. doi: 10.1093/jscr/rjad097. eCollection 2023 Mar.
Mucinous cystadenoma of the appendix is a rare condition characterized by abnormal mucus accumulation in the appendiceal. Laparoscopic appendectomy is a common approach worldwide and can be used in the management of mucinous cystadenoma with lower postoperative complication rates. A 30-year-old female had sharp pain localized to the right abdomen for 2 days. It was aggravated by movement and associated with nausea and vomiting. Laboratory findings were normal, but the abdominal computerized tomography scan demonstrated a cystic tumor in the right abdomen dorsal to the cecum and the ascending colon. Diagnostic laparoscopy showed a large cystic mass well-circumscribed encapsulated involving the appendix in the lower right abdomen. After demonstrating pathologic examination, the final diagnosis was mucinous cystadenoma of the appendix. Management of the appendicular mucinous cystadenoma can be successfully achieved through atraumatic laparoscopic excision of the tumor, it is safe, feasible and has a short postoperative recovery period.
阑尾黏液性囊腺瘤是一种罕见疾病,其特征为阑尾内异常黏液积聚。腹腔镜阑尾切除术是全球范围内常用的手术方法,可用于治疗黏液性囊腺瘤,术后并发症发生率较低。一名30岁女性右下腹剧痛2天。活动时疼痛加剧,并伴有恶心和呕吐。实验室检查结果正常,但腹部计算机断层扫描显示盲肠和升结肠后方的右下腹有一个囊性肿瘤。诊断性腹腔镜检查显示右下腹有一个边界清晰、包膜完整的大囊性肿块,累及阑尾。经病理检查后,最终诊断为阑尾黏液性囊腺瘤。通过无创伤性腹腔镜肿瘤切除术可成功治疗阑尾黏液性囊腺瘤,该方法安全、可行,术后恢复时间短。