"> DOI:10.18643/gieu.2014.30
"> DOI:10.18643/gieu.2014.30
"/> Appendicular mucocele - the vaginal way
<- Home <- Arhive <- Vol. 10, Issue 1, March 2014


Appendicular mucocele - the vaginal way

O. Nicodin, B. Panaite, N. Niculescu, A. Cucu, I. Niculescu

Abstract: Appendiceal mucocele (AM) is a rare pathology and is characterized by accumulation of mucin in the appendiceal lumen. Clinically, it can manifest with abdominal pain in the presence of a lower abdominal palpable mass. It is usually discovered intraoperatively. Proper preoperative diagnosis is mandatory since it requires surgical treatment and it must always be extracted intact. Effraction of AM could lead to development of pseudomyxoma peritonei, a pathology with a severe prognosis. Differential diagnosis with an adnexal mass is essential since an ovarian benign pathology could be extracted using the vaginal approach in selected cases. If the abdominal mass is an AM, then laparotomy or laparoscopy is elective. We report the case of a 43-year-old woman with a preoperative diagnosis of an ovarian mass that during surgery turned out to be an AM.

Keywords: appendicular mucocele, ovarian mass, vaginal, hysterectomy, pseudomixoma peritonei.

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