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Hematuria: An Unusual Presentation for Mucocele of the Appendix. Case Report and Review of the Literature

Oliphant UJ, Rosenthal A - JSLS (1999 Jan-Mar)

Bottom Line: This may be the result of either neoplastic or non-neopleastic causes and may present like most appendiceal pathology with either mild abdominal pain or life-threatening peritonitis.Conversion to laparotomy may be indicated if there is a special concern for the ability to remove the appendix intact or if more extensive resection is warranted, as in malignancy.We here report our experience with a woman presenting with hematuria whose ultimate diagnosis was mucocele of the appendix, and we review the appropriate literature.

Affiliation: Department of Surgery, University of Illinois, College of Medicine at Urbana-Champaign, USA.

ABSTRACT

Mucocele of the appendix is a nonspecific term that is used to describe an appendix abnormally distended with mucus. This may be the result of either neoplastic or non-neopleastic causes and may present like most appendiceal pathology with either mild abdominal pain or life-threatening peritonitis. Urologic manifestations of mucocele of the appendix have rarely been reported. Laparoscopy can be used as a diagnostic tool in equivocal cases. Conversion to laparotomy may be indicated if there is a special concern for the ability to remove the appendix intact or if more extensive resection is warranted, as in malignancy. We here report our experience with a woman presenting with hematuria whose ultimate diagnosis was mucocele of the appendix, and we review the appropriate literature. This case highlights the mucocele as a consideration in the differential diagnosis of appendiceal pathology and serves to remind the surgeon of the importance for careful intact removal of the diseased appendix.

CT of abdomen showing soft tissue density in the area of the cecum with associated calcification.
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Figure 2: CT of abdomen showing soft tissue density in the area of the cecum with associated calcification.

Mentions: Computed tomography of the abdomen revealed a 7 cm × 1.5 cm tube-like structure extending from the cecum to the liver and was otherwise within normal limits (Figure 2, 3).

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Hematuria: An Unusual Presentation for Mucocele of the Appendix. Case Report and Review of the Literature

Oliphant UJ, Rosenthal A - JSLS (1999 Jan-Mar)

CT of abdomen showing soft tissue density in the area of the cecum with associated calcification.
© Copyright Policy
Figure 2: CT of abdomen showing soft tissue density in the area of the cecum with associated calcification.
Mentions: Computed tomography of the abdomen revealed a 7 cm × 1.5 cm tube-like structure extending from the cecum to the liver and was otherwise within normal limits (Figure 2, 3).

Bottom Line: This may be the result of either neoplastic or non-neopleastic causes and may present like most appendiceal pathology with either mild abdominal pain or life-threatening peritonitis.Conversion to laparotomy may be indicated if there is a special concern for the ability to remove the appendix intact or if more extensive resection is warranted, as in malignancy.We here report our experience with a woman presenting with hematuria whose ultimate diagnosis was mucocele of the appendix, and we review the appropriate literature.

Affiliation: Department of Surgery, University of Illinois, College of Medicine at Urbana-Champaign, USA.

ABSTRACT

Background: Mucocele of the appendix is a nonspecific term that is used to describe an appendix abnormally distended with mucus. This may be the result of either neoplastic or non-neopleastic causes and may present like most appendiceal pathology with either mild abdominal pain or life-threatening peritonitis. Urologic manifestations of mucocele of the appendix have rarely been reported. Laparoscopy can be used as a diagnostic tool in equivocal cases. Conversion to laparotomy may be indicated if there is a special concern for the ability to remove the appendix intact or if more extensive resection is warranted, as in malignancy. We here report our experience with a woman presenting with hematuria whose ultimate diagnosis was mucocele of the appendix, and we review the appropriate literature. This case highlights the mucocele as a consideration in the differential diagnosis of appendiceal pathology and serves to remind the surgeon of the importance for careful intact removal of the diseased appendix.

View Similar Images In: Results  - Collection
View Article: Pubmed Central -  PubMed
Show All Figures - Show MeSH
getmorefigures.php?pmc=3015341&rFormat=json&query=null&req=5