A Rare Cause of Abdominal Pain: A Case of Appendiceal Mucocele

Year 2018, Volume: 20 Issue: 3, 345 - 348, 30.12.2018

Faruk Pehlivanlı , Gökhan Karaca , Çağatay Erden Daphan , Oğuz Eroğlu , Sevilay Vural , Figen Coşkun

https://doi.org/10.24938/kutfd.409082

Abstract

Appendiceal mucocele is a
rare clinical condition characterized by dilatation of the appendix lumen due to
abnormal mucin secretion. It may be due to inflammatory conditions or
neoplastic lesions. Mucocele may occur as a result of mucosal hyperplasia,
mucinous cystadenoma or mucinous cystadenocarcinoma histopathologically.
Mucinous cystadenoma is the most common form and it manifests itself as many
different clinical pictures. It is detected in 0.2‒0.3%of appendectomy
specimens. As preoperative diagnosis is often difficult, it is generally
detected during laparotomy. Appendiceal mucocele is a clinical challenge for
surgeons due to its risks of perforation and dissemination. Although there is
no consensus for type of surgical treatment, appendectomy or right
hemicolectomy are usually prefered. Herein, we present an appendiceal mucocele
cystadenoma case with right lower quadrant pain and palpable mass who was
followed up with the pre-diagnosis of plastron appendicitis in the context of
the literature.

Keywords

Mucocele, appendix, cystadenoma, appendectomy

KARIN AĞRISININ NADİR BİR NEDENİ: APENDİKS MUKOSEL OLGU SUNUMU

Abstract

Apendiksin mukoseli, apendiks lümeninin anormal müsinöz
sekresyonu sebebiyle dilatasyonu ile karakterize nadir görülen klinik bir
durumdur. İnflamatuar bir duruma veya tümör kaynaklı olabilir. Mukosel, mukozal
hiperplazi, müsinöz kistadenom veya müsinöz kistadenokarsinom sonucunda
oluşabilir. Apendiks müsinöz kistadenomu en sık görülen şekli olup çok farklı
klinik durumlarla kendini belli eder. Apendektomi spesimenlerinin %0.2‒0.3’ünde
saptanır. Preoperatif tanı konması zordur ve sıklıkla laparotomide saptanır.
Rüptür riski, klinik olarak cerrahları zorlamaktadır. Cerrahi planlanmasında
tam bir konsensus olmamakla birlikte genellikle apendektomi ya da sağ
hemikolektomi ameliyatları uygulanır. Bu yazımızda plastron apendisit tanısıyla
takip edilip sağ alt kadran ağrısı ve kitle saptanan apendiks mukosel olgusunu
literatür eşliğinde tartıştık. 

Keywords

Mukosel, apendiks, kistadenom

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