Giant Appendiceal mucocele: A case report

Abstract

Abstract

Appendiceal mucocele is a rare disease. It is resulted from accumulation of mucoid material due to obstruction of the lumen. It has multiple pathologic forms and classification is controversial. Recently a consensus reached on the pathologic reporting checklist and classification which is helpful for standardization of diagnosis, management plan and comparison of different centers outcome. 

Case:-We presented a 41 year Ethiopian male patient, who has presented with vague abdominal pain, after imaging study he was diagnosed with appendiceal mucocele. Patient was admitted and counseled about the possibility of Right hemi-colectomy. Laparotomy performed through a vertical mid line incision. Intraoperative  finding was tense pear-shaped  10x6cm appendicular mass which contain fluid with 3cm fibrous base with no luminal communication with the cecum and no surrounding tissue infiltration or dissemination of the content to the surrounding (figure2), appendectomy was performed and specimen sent for histopathologic examination. His post-operative stay was smooth and patient was discharged on the 2^nd postoperative day. Histologic examination revealed low grade appendiceal mucinous neoplasm. The presentation, imaging findings, management and histological appearance of the case discussed with review of literature

Conclusion:- Appendiceal mucocele is a rare disease .A correct diagnosis before surgery is very important for the selection of surgical technique to avoid severe intraoperative and postoperative complications. Imaging studies should be used extensively for this purpose. Pathologic result will govern further treatment plan and follow up of the patient.

Key words: - Appendix, appendiceal mucocele, Mucinous neoplasm, Mucinous adenoma