Apendiks Mukoselinde BT Kolonoskopi Bulguları

Abstract

Apendiks lümeninde anormal mukus birikimi sonucu gelişen mukosel, retansiyon kisti şeklinde olabildiği gibi mukozal hiperplazi, kistadenom veya kistadenokarsinoma sekonder de gelişebilir. Bu yüzden operasyon öncesi gerek tanının konması gerekse eşlik eden başka bir patolojinin ortaya çıkarılması oldukça önemlidir. Biz bu olgu sunumunda, patolojisi musinöz kistadenom olan apendiks mukoselinin, tanısında kullanılan tüm görüntüleme yöntemleri ile birlikte BT kolonoskopi bulgularını da sunmayı amaçladık. CT colonoscopy findings of appendix mucocele Appendiceal mucocele, which results from distantion of the lumen by abnormal accumulation of mucous, can be caused by retantion cyst, mucosal hyperplasia, cystadenoma or cystadenocarcinoma. For this reason it is very important to make the diagnosis before operation and to reveal the presence of any other associated pathology. Here, we present a case of appendiceal mucocele with pathological diagnosis of mucinous cystadenoma and findings of imaging methods used in diagnosis were described, together with the findings of CT colonoscopy.

Keywords

• -

References

1. Aho AJ., Heinonen R., Lauren P., 1973. Benign and malignant mucocele of the appendix Acta Chir. Scand. 139, 392-400.
2. Bahia JO, Wilson MH., 1989. Mucocele of the appendix presenting as an adnexal mass. J. Clin. Ultrasound 17, 62-66.
3. Connor SJ, Hanna GB, Frizelle FA., 1998. Appendiceal tumors: retrospective clinicopathologic analysis of appendiceal tumors from 7, 970 appendectomies. Dis Colon Rectum. 41, 75–80.
4. Dachman AH, Lichtenstein JE. Friedman AC., 1985. Mucocele of appendix and pseudomyxoma peritonei. AJR. 144, 923-929.
5. Francica G, Lapiccirella G, Giardiello C, Scarano F, Angelone G, De Marino F, Molese V., 2006. Giant mucocele of the appendix. Clinical and imaging findings in 3 cases. J. Ultrasound Med. 25,643–648.
6. Horgan JG, Chow PP, Richter JO, Rosenfield AT, Taylor KJ., 1984. CT and sonography in the recognition of mucocele of the ap- pendix. AJR. 143, 959-961.
7. Kim SH, Lim HK, Lee WJ, Lim JH, Byun JY., 1998. Mucocele of the appendix: ultrasonographic and CT findings. Abdominal Imaging 23, 292-296.
8. Krebs TL, Daly BD, Wong-You-Cheong JJ, Grumbach K., 1998. General case of the day. Mucinous cystadenocarcinoma of the ap- pendix. Radiographics 18, 1049-50.

9. Landen S, Bertrand C, Maddern GJ, Herman D, Pourbaix A, de Neve A, Schmitz A, 1992. Appendiceal mucoceles and pseudomy- xoma peritonei. Surg. Gynecol. Obstet. 175, 401–404.
10. Madwed D, Mindelzun R. Jeffrey RB., 1992. Mucocele of the appendix: imaging findings AJR. 159, 69-72.
11. Pickhardt PJ, Levy AD, Rohrmann CA Jr, Kende AI., 2003. Primary neoplasms of the appendix: radiologic spectrum of disease with pathologic correlation. Radiographics 23, 645–662.
12. Sasaki K, Ishida H, Komatsuda T, Suzuki T, Konno K, Ohtaka M, Sato M, Ishida J, Sakai T, Watanabe S., 2003. Appendiceal mu- cocele: sonographic findings. Abdom. Imaging. 28, 15–18.
13. Skaane P, Ruud TE, Haffner J., 1988. Ultrasonographic features of mucocele of the appendix. J. Clin. Ultrasound 16, 584.
14. Takahashi S, Furukawa T, Ueda J., 1998. Case report: Mucocele of the tip of the appendix. Clin Radio. 53, l49- 150.
15. Wolff M, Ahmed N., 1976. Epithelial neoplasm of the vermiform appendix (exclusive of carcinoid). Cancer 37, 2511-2522.
16. Zissin R, Gayer G, Kots E, Apter S, Peri M, Shapiro-Feinberg M., 1999. Imaging of mucocoele of the appendix with emphasis on the CT findings: a report of 10 cases. Clin. Radiol. 54, 826-832.