Mucinous tumours of the appendix are an uncommon clinicopathological pathology that causes acute appendicitis. The most prevalent type of these tumours is cystadenoma, which is characterised by luminal dilatation and mucus synthesis in large volumes. A new case of a massive appendix mucocele with mucinous cystadenoma is described. A 61-year-old woman with intense discomfort in the bottom right quadrant was admitted. Despite the fact that ultrasonography and computed tomography (CT) revealed that it was a mucocele, she had to have an emergency treatment due to the severity of her pain. Thankfully, there was no perforation, and the procedure ended with a successful appendectomy with segmental cecal resection. Histopathology revealed that the material was a mucocele with mucinous cystadenoma with negative surgical margins. On the sixth postoperative day, the patient was discharged, and a six-month follow-up colonoscopy and abdomen CT were arranged. Appendicular mucocele is rare and difficult to diagnose before surgery, and it can be large, putting the patient at danger of perforation. Pseudomyxoma peritonei is the most serious consequence of mucocele perforation (PP). For the best results, an appendectomy with negative margins is usually required. During surgery, extreme caution must be used to avoid perforation of the mucocele.
Özel Adiyaman Park Hospital, General Surgery Specialist, Adiyaman, Turkey.
Department of General Surgery, Faculty of Medicine, Kahramanmaras Sütcü Imam University, Kahramanmaras, Turkey.
Ahmet Necati Sanli
General Surgery Clinic, Silivri State Hospital, Istanbul, Turkey.
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