tailieunhanh - Retrocecal mucocele of the appendix: Case report and review of literature

Appendiceal mucocele was described for the first time by Rokitansky in 1842 [9]. Its incidence was - of all apendectomies performed, as it is observed predominantly in women with the ratio of 4/1 versus men and most frequently at the age of 50. We reported a 78-year-old woman, who was admitted to the hospital because of mild pain in the right lower quadrant. | Journal of military pharmaco-medicine no9-2018 RETROCECAL MUCOCELE OF THE APPENDIX: CASE REPORT AND REVIEW OF LITERATURE Ngo Tuan Minh1; Nguyen Thi Ha1; Le Vu Duy1 Phung Anh Tuan1; Tran Quang Vinh2; Ho Van Thanh3 SUMMARY Appendiceal mucocele was described for the first time by Rokitansky in 1842 [9]. Its incidence was - of all apendectomies performed, as it is observed predominantly in women with the ratio of 4/1 versus men and most frequently at the age of 50. We reported a 78-year-old woman, who was admitted to the hospital because of mild pain in the right lower quadrant. Appendiceal mucocele with a retrocecal location, which is a rare position, was determined intraoperatively. The formation has been dissected and appendectomy was performed without mucocele integrity being compromised. The permanent histological specimen revealed mucinous cystadenoma with clear resection lines, without any data on the appendiceal base being affected. The patient was discharged on the third day after surgery without any complications, and further follow-up was scheduled in 6 months. * Keywords: Retrocecal mucocele of appendix. INTRODUCTION Appendiceal mucocele (AM) is a rare entity that can present with a variety of clinical symptoms or occur as an incidental surgical finding. The incidence is - of all appendectomied specimens [6]. AM is a progressive dilatation of the appendix from the intraluminal accumulation of the mucoid substance [4, 6]. It may be a benign or malignant process. There are four histological types, which lead to individualized surgical treatment and course in each case [6]. Preoperative diagnosis that distinguishes AM from acute appendicitis (AA) is essential for the best choice of surgical approach (open vs. laparoscopy) to prevent peritoneal dissemination and perform the appropriate surgery [6]. Herein, we reported a retrocecal AM case, which is a rare location, discuss the process of diagnosis and review the relevant literature. CASE .