Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Intricacies in the surgical management of appendiceal mucinous cystadenoma: a case report and review of the literature | Khan et al. Journal of Medical Case Reports 2010 4 129 http content 4 1 129 CASE REPORTS CASE REPORT Open Access Intricacies in the surgical management of appendiceal mucinous cystadenoma a case report and review of the literature Muhammad R Khan 1 Rashida Ahmed2 and TaimurSaleem1 3 Abstract Introduction Mucinous cystadenoma is a type of mucocele of the appendix that is rarely encountered in clinical practice. Dogmatic consensus on the optimal surgical modus operandi of appendicular mucocele is lacking in the literature and this remains a subject of controversy. There is little agreement with regard to the best procedure right hemicolectomy versus appendectomy or the best surgical approach laparoscopic versus laparotomy . Case presentation We report the case of a 70-year-old Asian woman from Karachi who presented with pain in the right iliac fossa for 15 days. On physical examination a mobile and firm mass was palpable in the right iliac fossa. A colonoscopy was performed which showed external compression of the cecum. A biopsy of the mucosa was normal. Computed tomography scan showed a mucocele of the appendix with minimal periappendiceal fat stranding. She underwent an initial diagnostic laparoscopy to evaluate any mucin spillage in the peritoneal cavity. Once no spillage was identified an open appendectomy was then performed. Intra-operatively a frozen section of the appendiceal sample was sent to ascertain the need for an extension of surgery to a right hemicolectomy. Absence of any malignancy on the frozen section obviated the need for a surgical extension. The final histopathological examination showed a mucinous cystadenoma of the appendix. The patient was symptom-free at one year after surgery. Conclusion It is important to distinguish between mucinous cystadenomas and mucinous cystadenocarcinomas. However this distinction remains elusive in the pre-operative setting. A simple appendectomy using an .
