Mucocoele of the appendiceal stump

Case contributed by Dr Chris O'Donnell


Appendicectomy 6 weeks ago, now increasing RIF pain

Patient Data

Age: 45
Gender: Male
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 across the proximal appendix without inversion leaving a small segment of stump allowing a mucocoele to develop.

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Case Information:

rID: 21400
Diagnostic certainty: Almost Certain
Inclusion in quiz mode: Included

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