Mucocele of the appendix: our experience in treatment of rare pathologies

Abstract

A mucocele of the appendix is a cystic formation of the appendix, the lumen of which is filled with mucin of varying consistency. There are benign and malignant forms of the disease. Its pathogenesis varies depending on the etiology and has not yet been fully studied. The clinical picture of this disease is nonspecific and there are difficulties in preoperative diagnosis. The purpose of the study is to present a rare clinical case of mucocele of the appendix, as well as literature data on this pathology. Successful treatment of a patient with appendix mucocele, an atypical location of the tumor was demonstrated. Based on the results of intraoperative express biopsy, as well as postoperative pathomorphological examination, surgical intervention was carried out to the required extent and with a favorable prognosis for the patient’s future life. Choosing the right method of surgical treatment allows you to avoid dangerous complications, such as the development of mucinous cystadenocarcinoma and pseudomyxoma peritonei. When performing surgery, it is necessary to be guided by the principles of safety from the patient’s point of view and not be afraid of performing access conversion.

Keywords

• mucocele of the appendix
• cystadenoma
• appendicular mucinous neoplasms
• laparoscopy
• surgical treatment