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Mucocoele of the appendiceal stump

Case contributed by Dr Chris O'Donnell

Presentation:

Appendicectomy 6 weeks ago, now increasing RIF pain

Patient Data:

Age: 45
Gender: Male
Race: Caucasian
Modality: CT
Fluid filled distension of the appendiceal stump with a line of surgical staples at the tip of the stump.  Minimal surrounding inflammatory change.

Case Discussion:

The appendiceal stump is usually buried or inverted into the caecum at surgery to prevent complications including leak, "stumpitis" and mucocoele.  In this case a line of surgical staples has been used acroos the proximal appendix without inversion leaving a small segment of stump allowing a mucocoele to develop.

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