Presentation
Painful right iliac fossa. Past history of surgery for hepatic hydatid cyst.
Patient Data
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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).
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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