Mucocele of the appendix: A comprehensive case report and literature review
Appendiceal mucocele, a rare condition characterized by the accumulation of mucus in the appendix, presents a diagnostic challenge due to its nonspecific clinical features. We present the case of a 60-year-old female with recurrent right lower quadrant abdominal pain, nausea, and anorexia, suggestiv...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | Indian Journal of Community and Family Medicine |
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| Online Access: | https://journals.lww.com/10.4103/ijcfm.ijcfm_30_24 |
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| author | Bhaskar Jyoti Neog Subodh Gupta V. K. Rastogi Paras Passi |
| author_facet | Bhaskar Jyoti Neog Subodh Gupta V. K. Rastogi Paras Passi |
| author_sort | Bhaskar Jyoti Neog |
| collection | DOAJ |
| description | Appendiceal mucocele, a rare condition characterized by the accumulation of mucus in the appendix, presents a diagnostic challenge due to its nonspecific clinical features. We present the case of a 60-year-old female with recurrent right lower quadrant abdominal pain, nausea, and anorexia, suggestive of appendicular origin. Abdominal ultrasound revealed a hypoechoic cystic mass, prompting further investigation with magnetic resonance imaging (MRI), which confirmed an inflamed appendix. Exploratory laparotomy revealed a retroperitoneal cavity containing mucous gelatinous material, indicative of a mucocele. Histopathological examination confirmed extensive mucosal sloughing, neutrophilic infiltrate, lymphoma cells, and muciphages, along with areas of dystrophic calcification and fibrosis. The patient recovered postoperatively and remained symptom-free during follow-up. Appendiceal mucocele poses a diagnostic challenge due to its variable presentation and resemblance to other abdominal pathologies. Radiological imaging plays a crucial role in diagnosis, with abdominal ultrasound and MRI aiding in preoperative evaluation. Surgical resection remains the cornerstone of management, with laparotomy preferred to avoid mucocele rupture. |
| format | Article |
| id | doaj-art-dc8e50196c6045939eb818bfe222af56 |
| institution | Kabale University |
| issn | 2395-2113 2666-3120 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Community and Family Medicine |
| spelling | doaj-art-dc8e50196c6045939eb818bfe222af562025-01-07T05:57:57ZengWolters Kluwer Medknow PublicationsIndian Journal of Community and Family Medicine2395-21132666-31202024-12-0110214815110.4103/ijcfm.ijcfm_30_24Mucocele of the appendix: A comprehensive case report and literature reviewBhaskar Jyoti NeogSubodh GuptaV. K. RastogiParas PassiAppendiceal mucocele, a rare condition characterized by the accumulation of mucus in the appendix, presents a diagnostic challenge due to its nonspecific clinical features. We present the case of a 60-year-old female with recurrent right lower quadrant abdominal pain, nausea, and anorexia, suggestive of appendicular origin. Abdominal ultrasound revealed a hypoechoic cystic mass, prompting further investigation with magnetic resonance imaging (MRI), which confirmed an inflamed appendix. Exploratory laparotomy revealed a retroperitoneal cavity containing mucous gelatinous material, indicative of a mucocele. Histopathological examination confirmed extensive mucosal sloughing, neutrophilic infiltrate, lymphoma cells, and muciphages, along with areas of dystrophic calcification and fibrosis. The patient recovered postoperatively and remained symptom-free during follow-up. Appendiceal mucocele poses a diagnostic challenge due to its variable presentation and resemblance to other abdominal pathologies. Radiological imaging plays a crucial role in diagnosis, with abdominal ultrasound and MRI aiding in preoperative evaluation. Surgical resection remains the cornerstone of management, with laparotomy preferred to avoid mucocele rupture.https://journals.lww.com/10.4103/ijcfm.ijcfm_30_24appendixmucocelepain |
| spellingShingle | Bhaskar Jyoti Neog Subodh Gupta V. K. Rastogi Paras Passi Mucocele of the appendix: A comprehensive case report and literature review Indian Journal of Community and Family Medicine appendix mucocele pain |
| title | Mucocele of the appendix: A comprehensive case report and literature review |
| title_full | Mucocele of the appendix: A comprehensive case report and literature review |
| title_fullStr | Mucocele of the appendix: A comprehensive case report and literature review |
| title_full_unstemmed | Mucocele of the appendix: A comprehensive case report and literature review |
| title_short | Mucocele of the appendix: A comprehensive case report and literature review |
| title_sort | mucocele of the appendix a comprehensive case report and literature review |
| topic | appendix mucocele pain |
| url | https://journals.lww.com/10.4103/ijcfm.ijcfm_30_24 |
| work_keys_str_mv | AT bhaskarjyotineog mucoceleoftheappendixacomprehensivecasereportandliteraturereview AT subodhgupta mucoceleoftheappendixacomprehensivecasereportandliteraturereview AT vkrastogi mucoceleoftheappendixacomprehensivecasereportandliteraturereview AT paraspassi mucoceleoftheappendixacomprehensivecasereportandliteraturereview |