A rare diagnosis of right iliac fossa pain syndrome - appendiceal mucocele

  • IULIAN SLAVU Bucharest Clinical Emergency Hospital, Bucharest, Romania
  • Socea Bogdan Saint Pantelimon Clinical Emergency Hospital, Bucharest, Romania
  • Alecu Lucian Agrippa Ionescu Clinical Emergency Hospital, Bucharest, Romania
Keywords: appendiceal mucocele diagnosis, appendiceal mucocele treatment

Image Description

The Appendiceal mucocele represents a rare pathology of the appendix encountered on average in only 0.2% of patients. It is more common in women with an average of 3:1 compared to men. These tumors are mucus-producing and frequently give rise to mechanical obstruction of the appendicular base by enlargement of the appendix wall, thus, generating a chronic accumulation of mucus and an increase in appendix size up to possible wall rupture (Figure 1). When such a tumor is identified, the patient requires in-depth investigations, as these tumors are associated with other colon and ovarian secreting mucus cancer. The macroscopic aspect of these tumors is of a diffuse enlarged and elongated appendix with a smooth surface and fluctuation upon palpation ( do to the intraluminal mucus accumulation) and without signs of infection, local inflammation or adherences. The elective treatment is the surgical resection - ideal laparoscopic appendectomy. If the base of implantation of the appendix is ​​wide a the right ileocolectomy is recommended. In our case do the small base a simple appendectomy was practiced. The histopathological results confirmed the diagnosis of an Appendiceal mucocele (pTis)  which was limited to the muscularis propria (curative intervention).

How to Cite
SLAVU, I., Bogdan, S., & Lucian, A. (2020). A rare diagnosis of right iliac fossa pain syndrome - appendiceal mucocele. Medical Image Database, 3(1), 15-16. https://doi.org/10.33695/mid.v3i1.64