medigraphic.com
ISSN 1995-9494 (Electronic)
Revista del Hospital Clínico Quirúrgico "Arnaldo Milián Castro"

2020, Number 1

<< Back Next >>

Acta Med Cent 2020; 14 (1)

Mucocele apendicular diagnosticado por videolaparoscopia. Informe de caso

Hernández CMO, Yera ÁO, González RJJ

Language: Portugu?s
References: 12
Page: 108-113
PDF size: 131.55 Kb.


ABSTRACT

Introduction: the term appendicular mucocele refers to the cystic dilation of the lumen in the cecal appendix due to its obstruction and the consequent accumulation of mucus. Case report: a 59-year-old female patient who came to the consultation due to pain in flank and right iliac fossa, with several weeks of evolution, and without other accompanying symptoms. The case was discussed with Radiology specialists and in view of the impossibility of reaching a diagnosis, a laparoscopy was performed. It showed a thickened, turgid cecal appendix, which seemed to have liquid content inside. It was painful and without acute inflammatory signs. Due to these characteristics, the probable diagnosis was the existence of appendicular mucocele. Conclusions: although this is a rare disease, it is very important that both Internal Medicine and Surgery specialists take this disease into consideration in the differential diagnosis of any patient who has pain in the right iliac flank and fossa or has apalpable abdominal mass at this level.


REFERENCES

  1. Higa E, Rosai J, Pizzimbono CA, Wise L. Mucosal hyperplasia, mucinous cystoadenoma, and mucinous cystoadenocarcinoma of the appendix. A re-evaluation of appendiceal ‘‘mucocele’’. Cancer [Internet]. 1973 Dec [citado 20 Jul 2019];32(6):1525. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/4757938

  2. Van den Heuvel MG, Lemmens VE, Verhoeven RH, de HinghIH. The incidence of mucinous appendiceal malignancies: a population-based study. Int J Colorectal Dis [Internet]. 2013 Sep [citado 20 Jul 2019];28(9):1307-10. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/23695388

  3. Nitecki SS, Wolf BG, Schlinkert R, Sarr MG. The natural history of surgycally treated primary adenocarcinoma of the appendix. Ann Surg [Internet]. 1994 Jan [citado 20 Jul 2019];219(1):51-57. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1243090/

  4. Guelmes Domínguez AA, Sánchez Rivas CM, Rivero Rodriguez N. Tumor carcinoide del apéndice cecal. Presentación de caso. Gac Méd Espirit [Internet]. 2017 Ago [citado 2019 Ago 29];19(2): 103-109. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1608-89212017000200011&lng=es

  5. Pilco P, Beltrán-Flores S, López-Burga M. Cistoadenocarcinoma mucinoso de apéndice cecal. Rev Chil Cir [Internet]. 2016 [citado 29 Ago 2019];68(4):319-322. Disponible en: https://scielo.conicyt.cl/pdf/rchcir/v68n4/art09.pdf

  6. Bravo Jaramillo EL, López Lucero WN, Chacha Vivar MJ, Machado Zamora JP, Romero Zhinin LA. Caso clínico: Mucocele Apendicular. Rev Med HJCA [Internet]. 2017 Mar [citado 29 Ago 2019];9(1):85-88. https://revistamedicahjca.iess.gob.ec/index.php/RevHJCA/article/view/270/259

  7. Laborí Columbié Y, Noa Lores I, Rodríguez Gil E. Mucocele apendicular. Informe de un caso. Rev Inf Cient [Internet]. 2017 [citado 29 Ago 2019];96(4):[aprox. 7 p.]. Disponible en: http://revinfcientifica.sld.cu/index.php/ric/article/view/1193

  8. Rabbie ME, Al Shraim M, Al Skaini MS, Alqahtani S, El Hakeem I, Al Qahtani AS, et al. Mucus containing cystic lesions «mucocele» of the appen-dix: The unresolved issues. Int J Surg Oncol [Internet]. 2015 [citado 20 Ago 2019];2015:139461. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4386699/. http://dx.doi.org/10.1155/2015/139461

  9. Akman L, Hursitoglu BS, Hortz I, Sezer T, Oztekin K, Avsargil BD. Large mucinous neoplasm of the appendix mimicking adne-xal mass in a postmenopausal woman. Int J Surg Case Rep [Internet]. 2014 [citado 29 Ago 2019];5(12):1265-7. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4275782/

  10. Lam-Himlin D, Montgomery EA. The neoplastic appendix: a practical approach. Diagnostic Histopathol [Internet]. 2011 Sep [citado 29 Ago 2019];17(9):395-403. Disponible en: https://www.diagnostichistopathology.co.uk/article/S1756-2317(11)00107-1/abstract

  11. De Abreu Filho JG, Fernándes De Lira E. Mucocele of the appendix – appendectomy or colectomy?. J Coloproctol [Internet]. 2011 Jul-Sep [citado 29 Ago 2019];31(3):276-84. Disponible en: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632011000300008

  12. Hirano Y, Hattori M, Nishida Y, Maeda K, Duoden K, HashizumeY. Single-incision laparoscopic ileo-cecal resection for appendiceal mucocele. Indian J Surg [Internet]. 2013 Jun [citado 29 Ago 2018];75(Suppl 1):S250-2. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3693343/




2020     |     www.medigraphic.com