Background: Mucocele of the appendix is a rare condition that frequently mimics a right ovarian tumor. There is no specific imaging technique that is able to deterrmine the correct diagnosis preoperatively. Case: The case of a 60-year-old woman who presented with a mucocele of the cecal appendix mimicking an ovarian cancer, in which the diagnosis was determined intraoperatively, is reported. Results: This patient's postsurgical recovery went well, without complaints or complications, and she was discharged from the hospital on the 4th postoperative day. Two months after the surgical procedure, she remains asymptomatic. Conclusions: Mucocele of the appendix is a luminal distension of the cecal appendix caused by an accumulation of mucinous material. Its clinical presentation has nonspecific symptoms. Currently available imaging techniques do not provide a definite preoperative diagnosis. Therefore, the proper diagnosis is only made during a laparotomy. Although rare, mucocele of the appendix must be considered as a differential diagnosis of right ovarian cancer. (J GYNECOL SURG 27:167)
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References
1.
VavilisD, AthanatosD, TsolakidisD, PapanicolaouA, BontisJN. Mucocele of the appendix mimicking an adnexal mass: A case report. Clin Exp Obstet Gynecol, 2009; 36:135.
2.
KaluE, CroucherC. Appendiceal mucocele: A rare differential diagnosis of a cystic right adnexal mass. Arch Gynecol Obstet, 2005; 271:86.
3.
ScaffaC, Di BellaO, TartagliaE, RotondiM, LupF, MessalliEM. Surgical approach to appendiceal mucocele mimicking an adnexal complex mass: Case report. Eur J Gynaecol Oncol, 2007; 28:503.
4.
JohnsonMA, JyoutibasuD, RavichandranPet al.Retention mucocele of distal viable remnant tip of appendix: An unusually rare late surgical complication following incomplete appendicectomy. World J Gastroenterol, 2006; 12:489.
5.
RamponeB, RovielloF, MarrelliD, PintoE. Giant appendiceal mucocele: Report of a case, brief review. World J. Gastroenterol, 2005; 11:4761.
6.
PitiakoudisM, TsarouchaAK, MimidisKet al.Mucocele of the appendix: a report of five cases. Tech Coloproctol, 2004; 8:109.
7.
LakatosPL, GyoriG, Halaszet al.Mucocele of the appendix: An unusual cause of lower abdominal pain in a patient with ulcerativs colitis. A case report and review of literature. World J Gastroenterol, 2005; 11:457.
8.
ZagrodnikCDII, RoseMDM. Mucinous cystadenoma of the appendix: Diagnosis, surgical management, and followup. Curr Surg, 2003; 60:341.
9.
YamaneYD, YamaneH, CastroPCJr., MarsilacA, MesquitaRB, Lopes-PauloF. Mucocele of the appendix—case report and review of literature [in Spanish]Rev Bras Coloproct, 2005; 25:256.
10.
Ribeiro FilhoEE, MendesMBP, CastroEG, TamuraS, MacedoJLS, LinoEH, SalesPC. Giant mucocele of the appendix: Case report [in Spanish]Rev Brás Colo-Proct, 1997; 17:44.
11.
KesteringDM, AraujoPA, AndrianiAC, KruelNF, GonçalvesWM. Mucocele of the appendix and peritoneal pseudomyxoma [in Spanish]Rev Col Bras Cir, 1997; 24:441.
