Maloku Halit
Faculty of Medicine, Department of Surgery, University of Prishtina, Prishtina, Kosovo, Albania.
J Surg Case Rep. 2023 May 3;2023(5):rjad234. doi: 10.1093/jscr/rjad234. eCollection 2023 May.
We report a case with a low-grade appendiceal mucinous neoplasm, located under the left costal margin, the gastric level and the transverse colon. The mucinous appendiceal neoplasm has caused intussusception of the appendix in the cecum, completely dislocating the cecum on the left side of the upper abdomen. In such cases, it is important to diagnose prior to surgical treatment to avoid mucocele perforation and intraoperative dissemination. The patient underwent a right hemicolectomy procedure, completely removing the mass according to oncological principles. The atypical localization of the cecum leads to difficulty in diagnosing the mucinous neoplasm of the appendix. It is important to know the diagnosis before the operation to plan the right course of treatment.
我们报告一例低度阑尾黏液性肿瘤,位于左肋缘下、胃水平及横结肠处。黏液性阑尾肿瘤导致阑尾套叠入盲肠,使盲肠完全移位至上腹左侧。在此类病例中,手术治疗前进行诊断以避免黏液囊肿穿孔及术中播散非常重要。患者接受了右半结肠切除术,根据肿瘤学原则完整切除了肿物。盲肠的非典型定位导致阑尾黏液性肿瘤的诊断困难。术前了解诊断对于规划正确的治疗方案很重要。