Asian Journal of Case Reports in Surgery

Diagnostic Challenge and Management of a Giant Appendiceal Mucocele: A Case Report

Reema Mahdi

Department of General Surgery, King Hamad University Hospital, Bahrain.

Abdulaziz Almutawea *

Department of General Surgery, King Hamad University Hospital, Bahrain.

Basel Ebrahim

Department of General Surgery, King Hamad University Hospital, Bahrain.

Isam Juma

Department of General Surgery, King Hamad University Hospital, Bahrain.

Ahmet Aslan

Department of Medical Imaging, King Hamad University Hospital, Bahrain.

Husain Ahmadi

Department of Medical Imaging, King Hamad University Hospital, Bahrain.

*Author to whom correspondence should be addressed.

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Abstract

The appendiceal mucocele, a relatively rare condition, presents a diagnostic conundrum as it may masquerade as acute appendicitis or manifest with perplexing symptoms. Recognizing its atypical presentation and establishing an accurate diagnosis are paramount in guiding effective management strategies. Utilizing advanced imaging techniques such as ultrasonography and computed tomography facilitates the detection of mucoceles, aiding in timely intervention. Early preoperative identification is imperative to mitigate potential intraoperative and postoperative complications, underscoring the significance of a comprehensive diagnostic approach. In this case report, we delve into the clinical scenario of a 39-year-old female experiencing right iliac fossa pain, highlighting the challenges encountered in diagnosing and managing appendiceal mucocele.

Keywords: Appendix, mucocele, mucinous neoplasms, abdominal pain, retention cyst, right sided abdominal pain, pseudomyxoma peritonei, appendiceal pathology, colorectal surgery, abdominal mass

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