Asian Journal of Case Reports in Surgery

Appendicular Mucocele: A Case Report

Michaël Djogbe *

Surgery Department A, Faculty of Medicine and Pharmacy, Ibn Sina Hospital, Mohamed V University, Rabat, Morocco.

Abraham Youssouf Conde

Surgery Department A, Faculty of Medicine and Pharmacy, Ibn Sina Hospital, Mohamed V University, Rabat, Morocco.

Zakaria Moatassim

Surgery Department A, Faculty of Medicine and Pharmacy, Ibn Sina Hospital, Mohamed V University, Rabat, Morocco.

Ibrahim Kaba

Surgery Department A, Faculty of Medicine and Pharmacy, Ibn Sina Hospital, Mohamed V University, Rabat, Morocco.

Omar Mkira

Surgery Department A, Faculty of Medicine and Pharmacy, Ibn Sina Hospital, Mohamed V University, Rabat, Morocco.

Hadj Omar Malki

Surgery Department A, Faculty of Medicine and Pharmacy, Ibn Sina Hospital, Mohamed V University, Rabat, Morocco.

Lahcen Ifrine

Surgery Department A, Faculty of Medicine and Pharmacy, Ibn Sina Hospital, Mohamed V University, Rabat, Morocco.

Abdelkader Belkouchi

Surgery Department A, Faculty of Medicine and Pharmacy, Ibn Sina Hospital, Mohamed V University, Rabat, Morocco.

*Author to whom correspondence should be addressed.

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Abstract

Appendicular mucocele is a rare condition in which the appendix is dilated, either mechanically or due to benign or malignant tumours. It is evoked on the basis of appendicular mass syndrome and ultrasound-CT imaging. The most feared complication is perforation leading to peritoneal pseudomyxoma. The recommended treatment is always surgical, sometimes combined with intraperitoneal chemotherapy. In this paper we report the case of an 81-year-old patient admitted for abdominal pain with a mass syndrome in the right iliac fossa, whose exploration revealed an appendicular mucocele. He underwent a right hemicolectomy with transverse ileo anastomosis via laparotomy. Postoperative management was uncomplicated. The pathological anatomy of the surgical specimen revealed a mucinous cystadenoma.

Keywords: Mucocele, appendix, abdominal pain, cystadenoma, haemicolectomy

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