Mucocele of the appendix complicated by intussusception

The OBJECTIVE of this study was to demonstrate and original clinical case of an appendiceal mucocele, complicated by intussusception in a 45-year-old female patient.

METHODS AND MATERIALS. We present a rare clinical case of appendiceal mucocele in a female patient, complicated by partial intussusception into the caecum. Diagnostic laparoscopy was performed, followed by laparotomy with reduction of the intussusception and an atypical appendectomy.

RESULTS. In this article we present a review of the literature and analyze our clinical case. Treatment result was positive, postoperative period was uncomplicated. This patient was followed up for year postoperatively.

1. Lubashev Y. A., Kurlovich M. V., Bukovskaya Y. V. Mucocele of the appendix – a rare pathology to remember: a literature review and a clinical case report. Radiologiya – Praktika. 2013;6:51–59. (In Russ.).

2. Mishin I. V., Danch A. V. Mucocele of the vermiform appendix. Novosti Khirurgii. 2012;20(3):125–127. (In Russ.).

3. Aho A. J., Heinonen R., Lauren P. Benign and malignant mucocele of the appendix. Acta Chirurgica Scand. 1973;139(4):392–400.

4. Ruiz-Tovar J., Teruel D. G., Castiсeiras V. M. et al. Mucocele of the appendix. Wld J. Surg. 2007;31(3):542–550.

5. Stang A., Braumann D., Teichmann W. Mucocele of the appendix. Incidental sonographic discovery and laparoscopic resection. Dtsch. Med. Wochenschr. 2004;129(43):2295–2298.

6. Stocchi L., Wolff B. G., Larson D. R. et al. Surgical treatment of appendiceal mucocele. Archives of Surgery. 2003;138: 585–589.

7. Higa E., Rosai J., Pizzimbono C. A. et al. Mucosal hyperplasia, mucinous cystadenoma, and mucinous cystadenocarcinoma of the appendix. A reevaluation of appendiceal “Mucocele”. Cancer. 1973;32(6):1525–1541.

8. Kalmon E. H., Winningham E. V. Mucocele of the appendix. Am. J. Roentgenol. Radium. Ther. Nucl. Med. 1954;72:432–435.

9. Kim-Fuchs C., Kuruvilla Y. K. C., Angst E. et al. Appendiceal Mucocele in an elderly patient: how much surgery? Case Rep. Gastroenterol. 2011;5(3):516–522.

10. Nouri K., Demmel M., Ott J. et al. mucinous cystadenoma of the appendix in a postmenopausal woman. J. Soc. Laparoendoscopic Surg. 2010;14:296–298.

11. Hajizadeh Falah H., Amir Maafi A., Chatrnour G. et al. Myxoglobulosis, a rare variant of appendiceal mucocele: case report and review of the literature. Thrita. J. Med. Sci. 2013;1(4): 155–163.

12. Johnson M. A., Jyotibasu D., Ravichandran P. et al. Retention mucocele of distal viable remnant tip of appendix: An unusually rare late surgical complication following incomplete appendectomy. Wld J. Gastroenterol. 2006;12(3):489–492.

13. Padhy B. P., Panda S. K. Myxoglobulosis of appendix a rare entity. Indian J. Surg. 2013;75(Suppl. 1):337–339.

14. Bartlett C., Manoharan M., Jackson A. Mucocele of the appendix – a diagnostic dilemma: a case report. J. Med. Case. Rep. 2007;1(183):1–3.

15. Fairise A., Barbary E., Derelle A. L. et al. Mucocele pendiculaire et pseudomyxome peritoneal. J. Radiol. 2008;89(6):751–762.

16. Khan M. R., Ahmed R., Saleem T. Intricacies in the surgical management of appendiceal mucinous cystadenoma: a case report and review of the literature. J. Med. Case Rep. 2010;4:129.

17. Lakatos P. L., Gyori G., Halasz J. et al. Mucocele of the appendix: an unusual cause of lower abdominal pain in a patient with ulcerative colitis: a case report and review of literature. Wld J. Gastroenterol. 2005;11(3):457–459.

18. Sugarbaker P. H. Peritoneal surface oncology: review of a personal experience with colorectal all appendiceal malignancy. Tech/ Coloproctol. 2005;9(2):95–103.

19. Akzhigitov G. N., Baranov Y. N. Complications of the intersusceptional method of appendectomy. Bulletin of Surgery. 1986;(9):131–132. (In Russ.).

20. Kaliteevskiy P. F. Diseases of the vermiform appendix. M.: Meditsina. 1970:123–124. (In Russ.).

21. Kutovoy A. B., Kutovaya Y. V., Lisunets P. B. Method of intersusception of the cecum. Klin Khir. 1989;4:71–72. (In Russ.).

22. Pronin V. O., Boyko V. V. Pathology of the vermiform appendix and appendectomy. Kharkov, 2012:262–263. (In Russ.)