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A Journal on Surgery

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Chirurgia 2013 December;26(6):407-9

language: English

Mucocele of the appendix in an asymptomatic patient: case report and review of literature

Venza M. 1, Micossi C. 1, Lazzaro S. 1, Lazzaro A. 1, Falcone C. 2, Nardoni S. 3, Stolfi V. M. 1

1 Department of General Surgery Villa Tiberia Hospital, Rome, Italy;
2 Department of Radiology, Villa Tiberia Hospital, Rome, Italy;
3 Department of Pathology, Villa Tiberia Hospital, Rome, Italy


Mucocele of the appendix is a rare lesion caused by an obstructive dilatation of the appendix due to intraluminal accumulation of mucoid substance. Mucocele may be associated either to benign or malignant process and its treatment is variable. Even though the symptoms may vary depending on the level of complication from right lower quadrant pain, signs of intussusception, gastrointestinal bleeding to an acute abdomen with sepsis, most mucoceles are asymptomatic and found incidentally. Proper treatment is needed because, if managed incorrectly, it may progress to pseudomyxoma peritonei, a potentially lethal condition of the patient. In this paper we report the case of a 66 years old man with a mucocele of the appendix and we present the diagnostic aspect and surgical option according to the review of literature.

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