Reddy Srinivasa, Tote Darshana, Zade Anup, Gopalan Vasundara, Bikkumalla Shruthi
General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
General Surgery, Mahatma Gandhi Institute of Medical Sciences, Wardha, IND.
Cureus. 2024 Aug 3;16(8):e66067. doi: 10.7759/cureus.66067. eCollection 2024 Aug.
Appendiceal mucocele is a rare disease that can sometimes mimic acute appendicitis or be discovered accidentally during surgeries. The clinical presentation of appendiceal mucocele is observed as lumen distension due to mucin accumulation. This condition has both benign and malignant underlying etiologies, which can be confirmed by histopathological examination. Acute presentation of appendiceal mucocele is rare and mostly resembles the symptoms of acute appendicitis. The treatment of appendiceal mucocele is crucial due to the risk of pseudomyxoma peritonei caused by the spread of mucus, mucocele perforation, or the presence of malignancy such as mucinous carcinoma. Surgical resection, either appendicectomy, typhlectomy, or sometimes right hemicolectomy, is the recommended management approach. This is a case of a 74-year-old male with pain in the abdomen as the major presenting complaint. He had a palpable right iliac fossa mass. The diagnosis of appendiceal mucocele was made by contrast-enhanced computed tomography, which was later confirmed by histopathology. The patient underwent surgical resection and was doing well at the three-month follow-up.
阑尾黏液囊肿是一种罕见疾病，有时可酷似急性阑尾炎，或在手术中意外发现。阑尾黏液囊肿的临床表现为由于黏液积聚导致管腔扩张。这种情况有良性和恶性的潜在病因，可通过组织病理学检查确诊。阑尾黏液囊肿的急性表现罕见，大多类似急性阑尾炎的症状。由于黏液扩散、黏液囊肿穿孔或存在黏液腺癌等恶性肿瘤导致腹膜假黏液瘤的风险，阑尾黏液囊肿的治疗至关重要。推荐的治疗方法是手术切除，即阑尾切除术、盲肠切除术，有时是右半结肠切除术。这是一例74岁男性病例，主要症状为腹部疼痛。他在右髂窝可触及肿块。通过增强计算机断层扫描诊断为阑尾黏液囊肿，后来经组织病理学证实。患者接受了手术切除，术后三个月随访情况良好。
