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Diagnosis and Treatment of Mucinous Appendiceal Neoplasm Presented as Acute Appendicitis
Joint Authors
Zygomalas, Apollon
Kehagias, Ioannis
Markopoulos, Georgios
Papandreou, Thanasis
Kraniotis, Pantelis
Source
Case Reports in Oncological Medicine
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-03-14
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Appendiceal mucocele is a rare cause of acute abdomen.
Mucinous appendiceal neoplasms represent 0.2–0.7% of all appendix specimens.
The aim of this study is to report a case of a mucinous appendiceal neoplasm presented as acute appendicitis, discussing the clinical and surgical approach in the emergency setting.
A 72-year-old female patient was admitted to the emergency department with a clinical examination indicative of acute abdomen.
The patient underwent abdominal computed tomography scan which revealed a cystic lesion in the right iliac fossa measuring 8.3 × 5.2 × 4.1 cm, with calcified walls, and a mean density indicative of high protein content.
The patient was taken to the operating room and a right hemicolectomy was performed.
The postoperative course was unremarkable.
The histopathological examination revealed a low-grade mucinous appendiceal neoplasm with negative regional lymph nodes.
Ultrasound and CT are useful in diagnosing appendiceal mucocele and synchronous cancers in the emergency setting.
The initial operation should include appendectomy and resection of the appendicular mesenteric fat along with any fluid collection for cytologic examination.
During urgent appendectomy it is important to consider every mucocele as malignant in order to avoid iatrogenic perforation causing pseudomyxoma peritonei.
Although laparotomy is recommended, the laparoscopic approach is not contraindicated.
American Psychological Association (APA)
Kehagias, Ioannis& Zygomalas, Apollon& Markopoulos, Georgios& Papandreou, Thanasis& Kraniotis, Pantelis. 2016. Diagnosis and Treatment of Mucinous Appendiceal Neoplasm Presented as Acute Appendicitis. Case Reports in Oncological Medicine،Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1101652
Modern Language Association (MLA)
Kehagias, Ioannis…[et al.]. Diagnosis and Treatment of Mucinous Appendiceal Neoplasm Presented as Acute Appendicitis. Case Reports in Oncological Medicine No. 2016 (2016), pp.1-6.
https://search.emarefa.net/detail/BIM-1101652
American Medical Association (AMA)
Kehagias, Ioannis& Zygomalas, Apollon& Markopoulos, Georgios& Papandreou, Thanasis& Kraniotis, Pantelis. Diagnosis and Treatment of Mucinous Appendiceal Neoplasm Presented as Acute Appendicitis. Case Reports in Oncological Medicine. 2016. Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1101652
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1101652