Management of appendiceal mucocele diagnosed intraoperatively

Authors

  • Raj Shekhar Department of General Surgery, Nalanda Medical College and Hospital, Patna, Bihar, India
  • Rajendra Singh Department of General Surgery, Nalanda Medical College and Hospital, Patna, Bihar, India
  • Syed Nazir Hussain Department of General Surgery, Nalanda Medical College and Hospital, Patna, Bihar, India
  • Raul Mayank Department of General Surgery, Nalanda Medical College and Hospital, Patna, Bihar, India
  • Ranvijay Bharti Department of General Surgery, Nalanda Medical College and Hospital, Patna, Bihar, India

DOI:

https://doi.org/10.18203/2349-2902.isj20190839

Keywords:

Appendicitis, Mucocele, Mucinous cystadenoma, Pseudomyxomaperitonei

Abstract

Diagnosis of appendiceal mucocele is usually made intraoperatively in emergency operation theatre. It is crucial to recognize and treat this condition appropriately. This study reports management of such cases and their follow up. All cases of appendiceal mucocele diagnosed introperatively in patients undergoing emergency appendectomy at NMCH, Patna over duration of 1 year. Among 210 cases of appendectomy we found two cases of appendiceal mucocele. One patients underwent limited ileocaecal resection and appendectomy was done in the other case. Appendiceal mucocele should be recognized and treated appropriately. Limited ileocaecal resection along with taking care to avoid spillage of contents may suffice at primary surgery. Follow up can be done once histopathological diagnosis and margins are confirmed.

References

Rangarajan M, Palanivelu C, Kavalakat AJ, Parthasarathi R. Laparoscopic appendectomy for mucocele of the appendix. Report 8 cases. Indian J Gastroenterol 2006;25(5):256-7.

Ruiz-Tovar J, Teruel DG, Gastineires VM, Dehesa AS, Quindos PL, Molina EM. Mucocele of the appendix. World J Surg. 2007;31(3):542-8.

Dhage-Ivatur S, Sugarbaker PH. Update on the surgical approach to mucocele of the appendix. J Am Coll Surg. 2006;202(4):680-4.

Federle MP, Anne VS. Mucocele of the appendix. In Federle MP, ed. Di-agnostic imaging: Abdomen. Salt LakeCity, UT: Amirsys; 2004:26-27.

Connor SJ, Hanna GB, Frizelle FA. Appendiceal tumors: retrospective clinicopathologic analysis of appendiceal tumors from 7,970 appendectomies. Dis Colon Rectum. 1998;41:75-80.

Pickhardt PJ, Levy AD, Rohrmann Jr CA, Kende AI. Primary neoplasms of the appendix manifesting as acute appendicitis: CT findings with pathologic comparison. Radiology. 2002;224:775-81.

Demetrashvili Z, Chkhaidze M, Khutsishvili K. Mucocele of the appendix: case report and review of literature. Int Surg. 2012;97(3):266-9.

Lien WC, Huang SP, Chi CL, Liu KL, Lin MT, Lai TI, et al. Appendiceal outer diameter as an indicator for differentiating appendiceal mucocele from appendicitis. Am J Emerg Med. 2006;24(7):801-5.

Francica G, Lapiccirella G, Giardibello C, Scarano F, Angelone G, De Marino F et al. Giant mucocele of the appendix: clinical and imaging finding in 3 cases. J Ultrasound Med. 2006;25(5):643-8.

Sasaki K, Ishida H, Komatsuda T, Suzuki T, Konno K, Ohtaka M, et al. Appendiceal mucocele: sonographic findings. Abdom Imaging 2003;28(1):15-8.

Downloads

Published

2019-02-25

Issue

Section

Case Reports