Research Information System
Istanbul Medical Journal , vol.21, no.3, pp.222-224, 2020 (Peer-Reviewed Journal)
We aimed to present a case of appendiceal mucocele who
was admitted with abdominal pain, operated under elective
conditions and found to have been spontaneously drained from
the root of the appendix to the colon in surgical exploration.
A 41-year-old male patient was admitted to the emergency
department with abdominal pain. In clinical examination;
tenderness, rebound and defense in the lower right quadrant
of abdomen and leucocytosis were detected. Computerized
tomography scan showed the appearance of a cystic dilated
appendix. After resolution of the physical examination findings
based on the antibiotic treatment, we decided to perform
elective surgery. In surgical exploration, ileocecal resection was
performed by determining the mucocele of the appendix that
had been spontaneously drained from the root of the appendix
into the cecum lumen. On the sixth day after the operation,
he was discharged without complications. Histopathological
examination revealed high-grade appendiceal mucinous
neoplasia. Our patient’s follow-up in the first year after the
surgery revealed no recurrence. The patient is disease-free
at the end of his first postoperative year. The mucocele of
the appendix is a cystic neoplasia containing mucin and its
perforation during surgery may result in the development of
pseudomyxoma peritonei in the late period. In our case, the
fact that the lesion was spontaneously drained into the lumen
of the colon reduced the risk of the mucocele rupturing and
spreading into the abdomen during surgery.