Appendiceal mucocoele

Case contributed by Dr Mohammad A. ElBeialy

Presentation

Right lower quadrant pain. No vomiting, diarrhea or UTI symptoms.

Patient Data

Age: 39 years
Gender: Male
CT

A right iliac fossa fairly defined and lobulated cystic lesion about 13 x 8 x 6.5 cm is seen intimately related to the caecum with fluid density as well as several foci of mural calcification. Minimal peri-lesional fat stranding with small likely nonspecific mesenteric lymphadenopathy.  No evidence of ascites or pelvic collection.  No peritoneal soft tissue mass lesions.

Case Discussion

A peri-caecal lobulated and tubular cystic mass lesion, suggestive of appendicular mucocele. The patient was operated and the cystic lesion excised with no discrete mass lesion. The histopathological examination revealed appendicular mucocele.      

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Case information

rID: 47464
Case created: 17th Aug 2016
Last edited: 5th Sep 2017
Inclusion in quiz mode: Included

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