Abstract:
BACKGROUND:Mucoceles of the appendix are rare. After appendectomy, mucoceles are detected with a frequency of 0.2 to 0.3 %. Both stenosing / obliterating processes and alterations of the epithelium (hyperplasia, mucinous cystadenoma, cystadenoma with uncertain malignant potential (UMP), mucinous cystadenocarcinoma lead to the occurrence of mucoceles. The perforation of a mucocele with possible spread of mucus and cells into the abdominal cavity constitutes a severe complication (pseudomyxoma peritonei). Surgical resection is the curative approach for mucoceles of the appendix. MATERIALS AND METHODS:Data of patients who were treated for an appendiceal mucocele between 1995 and 2009 were analysed retrospectively with regard to clinical presentation, diagnostic measures, surgical procedure and histopathological result. Follow-up was evaluated in telephone interviews. RESULTS:We extracted 5 cases from our database. Clinical symptoms varied greatly among the individual patients, ranging from peracute abdominal pain in the right lower quadrant to chronic obstipation. Results from abdominal ultrasound and / or abdominal CT scans contributed to the indication for surgical intervention in all cases. In 2 patients surgery was stated as urgent whereas in 3 the operation was scheduled electively. In one patient the diagnosis of an appendiceal mucocele was stated preoperatively and in another intraoperatively. In 3 patients only the histopathological result revealed the underlying mucocele. We performed 1 open and 1 laparoscopic appendectomy, 1 open appendectomy with a partial resection of the coecum and 2 laparoscopic ileocoecal resections. One of the patients had a pseudomyxoma peritonei. The histopathological diagnoses ranged from mere epithelial hyperplasia to an adenoma with uncertain malignant potential and a mucinous cystadenocarcinoma. One patient's long-term follow-up could not be evaluated. All other patients had neither recurrence nor any complications after discharge. CONCLUSIONS:Mucoceles of the appendix present with a wide spectrum of clinical symptoms and histopathological alterations. Only an accurate histological analysis reveals the underlying pathological lesion correctly. This study emphasises that a mucocele of the appendix constitutes an important differential diagnosis in patients presenting with pathologies in their right lower abdominal quadrant.
journal_name
Zentralbl Chirjournal_title
Zentralblatt fur Chirurgieauthors
Kleemann M,Laubert T,Krokowski M,Eckmann C,Bruch HP,Kujath Pdoi
10.1055/s-0029-1224563subject
Has Abstractpub_date
2010-08-01 00:00:00pages
330-5issue
4eissn
0044-409Xissn
1438-9592journal_volume
135pub_type
杂志文章abstract::Surgical tactics for the teatment of complicated diverticulitis are in constant evolution and remain a subject of controversy. Amongst 53 patients operated on for complicated sigmoid diverticulits over a 10 year period in our hospital, 29 underwent a Hartmann's procedure (3 Hinchey's stage II, 19 stage III and 7 stage...
journal_title:Zentralblatt fur Chirurgie
pub_type: 杂志文章,评审
doi:
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journal_title:Zentralblatt fur Chirurgie
pub_type: 杂志文章
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journal_title:Zentralblatt fur Chirurgie
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journal_title:Zentralblatt fur Chirurgie
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journal_title:Zentralblatt fur Chirurgie
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journal_title:Zentralblatt fur Chirurgie
pub_type: 评论,杂志文章
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journal_title:Zentralblatt fur Chirurgie
pub_type: 杂志文章
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更新日期:1982-01-01 00:00:00
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journal_title:Zentralblatt fur Chirurgie
pub_type: 杂志文章
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更新日期:1998-01-01 00:00:00
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journal_title:Zentralblatt fur Chirurgie
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journal_title:Zentralblatt fur Chirurgie
pub_type: 历史文章,杂志文章
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更新日期:1996-01-01 00:00:00
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journal_title:Zentralblatt fur Chirurgie
pub_type: 杂志文章
doi:
更新日期:1989-01-01 00:00:00
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journal_title:Zentralblatt fur Chirurgie
pub_type: 杂志文章
doi:
更新日期:1987-01-01 00:00:00
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journal_title:Zentralblatt fur Chirurgie
pub_type: 杂志文章
doi:
更新日期:1990-01-01 00:00:00
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journal_title:Zentralblatt fur Chirurgie
pub_type: 杂志文章
doi:
更新日期:1991-01-01 00:00:00
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journal_title:Zentralblatt fur Chirurgie
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journal_title:Zentralblatt fur Chirurgie
pub_type: 杂志文章
doi:
更新日期:1990-01-01 00:00:00
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journal_title:Zentralblatt fur Chirurgie
pub_type: 临床试验,杂志文章
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journal_title:Zentralblatt fur Chirurgie
pub_type: 杂志文章
doi:
更新日期:1997-01-01 00:00:00
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journal_title:Zentralblatt fur Chirurgie
pub_type: 杂志文章
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pub_type: 杂志文章,评审
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journal_title:Zentralblatt fur Chirurgie
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journal_title:Zentralblatt fur Chirurgie
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journal_title:Zentralblatt fur Chirurgie
pub_type: 杂志文章
doi:
更新日期:1988-01-01 00:00:00
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journal_title:Zentralblatt fur Chirurgie
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更新日期:1997-01-01 00:00:00
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journal_title:Zentralblatt fur Chirurgie
pub_type: 杂志文章
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更新日期:1985-01-01 00:00:00
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journal_title:Zentralblatt fur Chirurgie
pub_type: 杂志文章
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更新日期:1988-01-01 00:00:00
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journal_title:Zentralblatt fur Chirurgie
pub_type: 杂志文章
doi:
更新日期:1981-01-01 00:00:00
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journal_title:Zentralblatt fur Chirurgie
pub_type: 杂志文章,评审
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journal_title:Zentralblatt fur Chirurgie
pub_type: 杂志文章
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