Cirugía y Cirujanos

Contents by Year, Volume and Issue

Table of Contents

General Information

Instructions for Authors

Message to Editor

Editorial Board

>Journals >Cirugía y Cirujanos >Year 2006, Issue 4

de la Fuente-Lira M, Rocha-Guevara ER, Márquez-Rocha ML, Salazar-Lozano C, Jaramillo-Solís O, Ortiz-Maldonado AL
Appendiceal mucocele and gangrenous cholecystitis
Cir Cir 2006; 74 (4)

Language: Español
References: 27
Page: 273-277
PDF: 136.12 Kb.

[Full text - PDF]


Objective: We present a case report of appendiceal mucocele and gangrenous cholecystitis.
Setting: Hospital de Especialidades, Centro Medico Nacional Siglo XXI, México, D.F.
Clinical case: An 80-year-old man was admitted to the hospital with diagnosis of acute cholecystitis and abdominal tumor under study, with complaints of abdominal pain for 10 days located in the right upper quadrant, without fever or significant weight loss. Laboratory analyses revealed moderate leucocitosis. CT of the abdomen revealed thickening of the gallblader wall and acute local inflammation, as well as the presence of abdominal tumor in the right lower quadrant. The patient was surgically explored with the following findings: gangrenous cholecystitis and appendiceal tumor of 20 cm length. Cholecystectomy and appendectomy was performed. The postoperative period was normal. The final histological report was appendiceal mucocele and the patient was discharged after 5 days. The patient is currently without complaints at 5 months postoperatively.

Key words: mucocele, appendix, mucinous cistoadenoma.


  1. 1. Minni F, Petrella M, Morganti A, Santini D, Marrano D. Giant mucocele of the appendix. Report of a case. Dis Colon Rectum 2001;44:1034-1036.

  2. 2. Haritopoulos KN, Brown DC, Lewis P, Masour F, Eltayar AR, Labruzzo C, et al. Appendiceal mucocele: a case report and review of the literature. Int Surg 2001;86:259-262.

  3. 3. Stocchi L, Wolff BG, Larson D, Harrington JR. Surgical treatment of appendiceal mucocele. Arch Surg 2003;138:585-590.

  4. 4. González-Moreno S, Shmookler BM, Sugarbaker PH. Appendiceal mucocele: contraindication to laparoscopic appendectomy. Surg Endosc 1988;12:1177-1179.

  5. 5. Ramos E, Gómez A, Hernández P, et al. Patología quirúrgica del apéndice cecal. Análisis de 8950 casos. Rev Gastroenterol Mex 1987;52:75-81.

  6. 6. Fujiwara T, Hizuta A, Iguaki H, et al. Appendiceal mucocele with concomitant colonic cancer: report of two cases. Dis Colon Rectum 1996;39:232-236.

  7. 7. Caspi B, Cassif E, Auslender R, Herman A, Hagay Z, Appelman Z, The onion skin sign: a specific sonographic marker of appendiceal mucocele. J Ultrasound Med 2004;23:111-121.

  8. 8. Sasaki K, Ishida H, Komatsuda T, Suzuki T, Konno K, Ohtaka M, et al. Appendiceal mucocele: sonographic findings. Abdom Imaging 2003;28:15-18.

  9. 9. Martínez-González MD, Takahashi T, Robles Ataide JA, et al. Mucocele del apéndice vermiforme. Rev Gastroenterol Mex 1996;

  10. 61:366-370.

  11. Laszlo P, 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. World J Gastroenterol 2005;11:457-459.

  12. Zissin R, Gayer G, Kots E, Apter S, Peri M, Shapiro-Feinberg M. Imaging of mucocele of the appendix with emphasis on the CT findings: a report of 10 cases. Clin Radiol 1999;54:826-832.

  13. Rodríguez A, Suárez G, Bonelli C, et al. Masa quística retroperitoneal gigante: mucocele apendicular. Actas Urol Esp 2004;28:327-331.

  14. Wallis JW, Madan A, Shoemaker MC: Giant mucocele of appendix. AJR 1995;165:1013-1014.

  15. Parada R, Ropsales A, Algaba F, Luis F, Villavicencio H. Mucocele of the appendix: an unusual cause of obstructive kidney failure. BJU Int 1998;82:444-445.

  16. Carr N, McCarthy WF, Sobin LH. Epithelial noncarcinoid tumors and tumorlike lesions of the appendix. A clinicopathologic study of 1184 patients with a multivariate analysis of prognostic factors. Cancer 1995;75:757-768.

  17. Kabbani W, Houlihan PS, Luthra R, Hamilton SR, Rashid A. Mucinous and nonmucinous appendiceal adenocarcinomas: different clinicopathological features but similar genetic alterations. Mod Pathol 2002;15:559-605.

  18. Aho A, Heinomen R, Lauren P. Benign and malignant mucocele of the appendix: histologic types and prognosis. Acta Chir Scand 1973;

  19. 139:392-400.

  20. Chetty R, Daniel WJ. Mucinous cystoadenoma of the appendix causing intussusception in an adult. Am J Gastroenterol 1997;92: 898-899.

  21. Abu-Zidan FM, Al-Hilaly MA, Al-Atrabi N. Torsion of a mucocele of the appendix in a pregnant woman. Acta Ostet Gynecol Scand 1992;71:140-142.

  22. Baskin LS, Stoller ML. Unusual appendiceal pathology presenting as urologic disease. Urology 1991;38:432-436.

  23. Stocchi L, Wolff B, Larson D, Harrington J. Surgical treatment of appendiceal mucocele. Arch Surg 2003;138:585-590.

  24. Sato T, Ueda T, Kon H, Yagihashi S, Kotanagi H. Mucinous cystadenoma of appendix concomitant with perityphlic granuloma. J Gastroenterol 1995;30:779-782.

  25. Miraliakbari R, Chapman WH, Laparoscopic treatment of an appendiceal mucocele. J Laparoendosc Adv Surg Tech A 1999;9:159-163.

  26. Nitecki SS, Wolff BG, Schlinkert R, Sarr MG. The natural history of surgically treated primary adenocarcinoma of the appendix. Ann Surg 1994;219:51-57.

  27. Zuidema G. Shakelford’s Surgery of the Alimentary Tract, 5th ed. Volume IV. pp. 180-190.

  28. Zinner MJ, Shwartz SI, Ellis H. Maingot’s Abdominal Operations, 10th ed. Vol II. pp. 1191-1228.

  29. De Pablo A, Lozano F, Pinós M, et al. Obstrucción ureteral extrínseca secundaria a mucocele apendicular. Arch Esp Urol 2001;54:451-454.

>Journals >Cirugía y Cirujanos >Year 2006, Issue 4

· Journal Index 
· Links 
Copyright 2010