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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).

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.

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