Yonei Y, Kameda T, Ozawa Y, Ueno H, Tsukada N, Inagaki Y, Miyamoto K, Suzuki O, Okawa H, Kiryu Y
Department of Internal Medicine, Nippon Kokan Hospital, Kawasaki, Japan.
Gastroenterol Jpn. 1993 Feb;28(1):102-9. doi: 10.1007/BF02775010.
A 58-year-old male patient presented with abnormal discharge of 200 ml transparent fecal mucus. Irregular protuberance of the ascending colon into the adjacent ileocecal region was observed by colonofiberscopy, and a cystic lesion in the ileocecal region was suggested by computerized axial tomography. Pale yellowish semitransparent jellied substances were observed exudating from the site of ileocecal resection. The diagnosis established was moderately differentiated colonic adenocarcinoma and a mucocele of the appendix. The mucus discharge disappeared after resection. Biochemical analysis of the mucus suggested the mucocele as a source of the discharged mucus. We report an extremely rare case of mucocele of the appendix that may be related to the cause of mucous stool.
一名58岁男性患者出现200毫升透明粪便黏液异常排出。通过纤维结肠镜检查观察到升结肠向相邻回盲部区域不规则突出，计算机断层扫描提示回盲部区域有一个囊性病变。在回盲部切除部位观察到淡黄色半透明胶冻状物质渗出。确诊为中度分化结肠腺癌和阑尾黏液囊肿。切除后黏液排出消失。对黏液的生化分析表明黏液囊肿是排出黏液的来源。我们报告了一例极其罕见的阑尾黏液囊肿病例，其可能与黏液便的病因有关。
