European Journal of Molecular & Clinical Medicine

Abstract

Appendicular mucocele is a very uncommon condition. It can be discovered by chance or be mistaken for acute appendicitis, depending on the situation. To minimize postoperative and intraoperative complications, it is critical to have an accurate diagnosis before the surgery in order to select the most appropriate surgical therapy. To achieve this goal, Ultrasonography, and in particular computed tomography, must be widely utilized. A disease known as pseudoyxoma peritonei that is characterized by malignant process can occur if mucocele is not treated properly.
We studied four cases. First Case, 51-year-old man came to Out-patient department (OPD) with signs of acute appendicitis. Second case is 56-year-old female patient came to OPD as Right Iliac Fossa (RIF) lump. A third case 30-year male patient came to emergency surgical department with signs and symptoms of acute appendicitis. Fourth case 60-year old female came to OPD with sign of acute appendicitis.
We admitted all patients, did necessary investigations and open surgery had been conducted. Case 1: During surgery, an intraoperative result indicated that a cystic mass of the appendix having 7 x 3 x 4 Centimeters (Cms) dimensions, with inflamed walls, even without perforation, had been detected in the RIF.
Case 2: An intraoperative finding was a cystic mass of the appendix with 8 x 6 x 5 cm dimensions and an inflammatory wall but without perforation had been detected in the right iliac fossa. The peritoneal cavity of both cases were free of discharge.
Case 3 Intraoperative finding was suggestive of a 12cm long with 4cm width inflamed appendix with normal base, retroceacal in position with no periappendicullar fluid and adhesion, rest of abdomen normal.
Case 4 Intraoperatively, a 5.7cm long with 1cm width inflamed appendix found in retroceacal position. In all cases a mucocele of the appendix had been suspected on intraoperative diagnosis. There by spillage-free open appendectomy had been accomplished since no additional pathologic condition was discovered at the appendix’s base as well as size of lymph nodes were also not enlarged. Histopathological diagnosis of all first three cases was mucinous cystadenoma with fourth case was low grade Appendiceal mucinous neoplasm. All patient were followed up for 3-6 months, post-operative course was uneventful.