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Appendiceal mucinous adenocarcinoma

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Painful right iliac fossa. Past history of surgery for hepatic hydatid cyst.

Patient Data

Age: 40 years
Gender: Male

The CT images demonstrate a cystic tubular structure with peripheral curvilinear calcification, of retrocecal location with upward course medial to the coecum. No perilesional fatty infiltration or regional lymphadenopathy seen. The appendix was not visualized.

Dysmorphic liver with calcification in the right lobe (past history of surgery for hepatic hydatid cyst).

 

Post-operative

ct

This CT scan was performed 2 months after total resection of the previously described lesion.

No tumoral recurrence, regional or distant lymphadenopathy seen.

 

Case Discussion

The patient went on to have a total resection and the histopathological study confirmed the diagnosis of a well-differentiated mucinous adenocarcinoma of the appendix grade I.

 

Additional contributor: R Bouguelaa, MD

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