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
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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