Appendiceal mucocele

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Right-sided abdominal pain.

Patient Data

Age: 30 years
Gender: Male
ct

A well-circumscribed tubular-shaped cystic lesion is seen at the right iliac fossa region, contiguous with the base of the cecum. The appendix could not be defined separately from it. There is no solid enhancing component. Focal mural interrupted calcifications are observed. No surrounding fat stranding or abnormal lymph nodes are seen.

Cortical cyst along with right kidney mid pole is noted.

Case Discussion

Imaging features were most consistent with appendiceal mucocele.
Appendiceal mucoceles occur when there is an abnormal accumulation of mucin causing abnormal distention of the vermiform appendix due to various neoplastic or non-neoplastic causes. The patient was referred for appendectomy and histopathology was compatible with appendiceal mucocele.

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