A case report of a giant appendiceal mucocele and literature review
- Resource Type
- Authors
- Gezahen Negusse Ayane; Johamel Ramos Valdes; Pako Motlaleselelo; Sheikh Omar Sesay; Mpapho Joseph Motsumi
- Source
- Pan African Medical Journal; Vol 28, No 1 (2017); 153
The Pan African Medical Journal
- Subject
- Adult
medicine.medical_specialty
medicine.medical_treatment
Mucocele
Iliac fossa
Case Report
Appendix
Hepatic Flexure
03 medical and health sciences
Cecum
0302 clinical medicine
Laparotomy
mucinous neoplasms of the appendix
medicine
Cecal Diseases
Humans
Pseudomyxoma peritonei
Ascending colon
Colectomy
Pelvis
Ultrasonography
Botswana
pseudomyxoma peritonei
business.industry
Appendicular mucocele
General Medicine
appendicular mucinous cystadenoma
appendicular mucinous cystadenocarcinoma
medicine.disease
Appendicular mucocele, appendicular mucinous cystadenoma, appendicular mucinous cystadenocarcinoma, appendicular mucinous adenocarcinoma, pseudomyxoma peritonei, low-grade appendiceal mucinous neoplasms, mucinous neoplasms of the appendix
appendicular mucinous adenocarcinoma
medicine.anatomical_structure
Appendiceal Neoplasms
030220 oncology & carcinogenesis
low-grade appendiceal mucinous neoplasms
Female
030211 gastroenterology & hepatology
Radiology
Tomography, X-Ray Computed
business
- Language
- ISSN
- 1937-8688
A 43-year-old female presented at the accident and emergency department of Princess Marina Hospital, Gaborone, Botswana. She reported a deep dull aching pain of two years duration in the right iliac fossa that has been progressively becoming worse. Ultrasound revealed a large sausage like cystic mass extending from the pelvis up to the medial aspect of the ascending colon. CT scan showed a large sausage like cystic mass extending from the pelvis up to the hepatic flexure of the colon with the cecum displaced. No metastatic features were seen. We made an impression of appendiceal mucocele. A semi-elective laparotomy was scheduled. Intraoperative findings: a giant intact cystic distended appendix with involved base, displacing the cecum cranially. A right hemicolectomy was performed. The histopathological results revealed a low-grade appendicular mucinous neoplasm with no lymph node involvement. The surgical margins were free. The patient recovered uneventfully.