A laparoscopic resection of mucocele appendix in COVID time:a case report
DOI:
https://doi.org/10.18203/2349-2902.isj20220351Keywords:
Mucocele appendix, Laparoscopic surgery, Appendicular lesionAbstract
We present a case of 62 year old female presented with complaints of pain right lower abdomen. Contrast enhanced computed tomography (CECT) abdomen showed appendicular lesion likely mucocele appendix. Diagnostic laparoscopy and proceed was planned. Intraoperatively there was no pathological condition found at the base of appendix and there were no lymph nodes enlarged so laparoscopic appendectomy was done carefully and specimen was retrieved in endo bag. Appendiceal mucocele is a rare disease and has a clinical picture that may resemble acute appendicitis. Mucocele of the appendix can also mimic an adnexal mass due to its nonspecific symptoms and prove to be a diagnostic challenge. A correct diagnosis before surgery is very important for the selection of surgical technique. Ultrasonography (USG) and CECT abdomen, should be used extensively for this purpose. Laparoscopic surgery provides the advantage of good exposure with more rapid recovery and a better cosmetic outcome provided that there should be no intraperitoneal spillage.
References
Higa E, Rosai J, Pizzimbono CA, Wise L. Mucosal hyperplasia, mucinous cystadenoma, and mucinous cystadenocarcinoma of the appendix: a re- evaluation of appendiceal "mucocele". Cancer. 1973;32:1525-41.
Minni F, Petrella M, Morganti A, Santini D, Marrano D. Giant mucocele of the appendix: report of a case. Dis Colon Rectum. 2001;44:1034-6.
Rokitansky CF. A Manual of Pathological Anatomy. Volume 2. Philadelphia: Blanchard & Lea. 1855.
Stocchi L, Wolff BG, Larson DR, Harrington JR. Surgical treatment of appendiceal mucocele. Arch Surg. 2003;138:585-90.
Ruiz-Tovar J, Teruel DG, Castineiras VM, Dehesa AS, Quindós PL, Molina EM. Mucocele of the appendix. World J Surg. 2007;31(3):542-8.
Marudanayagam R, Williams GT, Rees BI. Review of the pathological results of 2660 appendectomy specimens. J Gastroenterol. 2006;41(8):745-9.
Garcia Lozano A, Vazques Tarrago A, Castro Garcia C, Richart Aznar J, Gomez Abril S, Martinez Abad M. Mucocele of the appendix: presentation of 31 cases. Cir Esp. 2010;87(2):108-12.
Sugarbaker PH. Appendiceal epithelial neoplasms and pseudomyxoma peritonei, a distinct clinical entity with distinct treatments. In: Bland KJ, Büchler MW, Csendes A, Garden OY, Saar MG, Wong J, editors. General Surgery. Principles and International Practice. London-Limited: Springer. 2009;885-93.
Skaane P, Ruud TE, Haffner J. Ultrasonographic features of mucocele of the appendix. J Clin Ultrasound. 1998;16:584-7.
Caspi B, Cassif E, Auslender R, Herman A, Hagay Z, Appelman Z: The onion skin sign: a specific sonographic marker of appendiceal mucocele. J Ultrasound Med. 2004;23(1):117-21.
Hamilton DL, Stormont JM. The volcano sign of appendiceal mucocele. Gastrointest Endosc. 1989;35:453-6.
Navarra G, Asopa V, Basaglia E, Jones M, Jiao LR, Habib NA. Mucous cystadenoma of the appendix: is it safe to remove it by a laparoscopic approach? Surg Endosc. 2003;17(5):833-4.
