Volume 33, Issue 159 (July & August 2025)                   J Adv Med Biomed Res 2025, 33(159): 334-339 | Back to browse issues page

Ethics code: IR.JMU.REC.1401.031

XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Sohrani Y, Mohammadivahedi F, Mohammadi Sardoo H, Sadr S, Fakhrealizadeh F, Afsharzarandi A, et al . A Case Report of Appendiceal Mucocele: Clinical Presentation and Surgical Considerations. J Adv Med Biomed Res 2025; 33 (159) :334-339
URL: http://journal.zums.ac.ir/article-1-7580-en.html
1- Clinical Research Development unit of Imam Khomeini Hospital, Jiroft University of Medical Sciences, Jiroft, Iran
2- Clinical Research Development Unit, Shafa Hospital, Kerman University of Medical Sciences, Kerman, Iran
3- Department of Operating Room, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4- Faculty of Allied Medicine, Kerman University of Medical Sciences, Kerman, Iran & Department of Operating Room Technology, Faculty of Allied Medicine, Kerman University of Medical Sciences, kerman, Iran
5- Department of Operating Room, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydarieh, Iran
6- Faculty of Allied Medicine, Kerman University of Medical Sciences, Kerman, Iran & Department of Operating Room Technology, Faculty of Allied Medicine, Kerman University of Medical Sciences, kerman, Iran & Clinical Education Research Center, Department of Medical Education, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran , fabaszadeh99@gmail.com
Abstract:   (318 Views)

Appendiceal mucocele is a rare condition, characterized by the dilation and obstruction of the appendix owing to the accumulation of intraluminal mucus. This study presents a case of appendiceal mucocele and outlines the diagnostic as well as therapeutic approach employed. A 54-year-old female patient presented with abdominal pain, nausea, a bitter taste in her mouth, and constipation which had persisted for 20 days. Upon admission, she underwent laboratory tests and imaging diagnostics. Although initially scheduled for laparoscopic surgery, the procedure was converted to open surgery following the diagnosis of appendiceal mucocele. Torsion of the appendix in three loops was observed intraoperatively. An abdominal assessment revealed no signs of malignancy, with only the distended appendix resected. Postoperatively, the patient experienced no complications and was discharged without pain or infection. Given the potential presence of appendiceal mucocele, for patients presenting with symptoms that mimic acute appendicitis, including abdominal pain, nausea, and vomiting, diagnostic investigations such as computed tomography (CT) and ultrasound are essential.

     
Type of Study: Case Report Article | Subject: Clinical Medicine
Received: 2025/05/15 | Accepted: 2025/09/3 | Published: 2025/09/29

References
1. Oyeh E, Nsaful J, Bediako-Bowan A, Gbadamosi H, Mensah YB, Adu-Aryee NA, et al. Mucocoele of the appendix. Ghana Med J. 2024;58(1):109-14. [DOI:10.4314/gmj.v58i1.15]
2. Bhagwanani A, El-Sheikha J, Shah N, Thrower A, Carr NJ, Moran BJ. The appendix "mucocoele" misnomer: radiological terminology of "likely appendix mucinous neoplasm" better reflects pathology findings. Clin Radiol. 2023;78(3):234-8. [DOI:10.1016/j.crad.2022.10.005]
3. Santos SF, Horta M, Rosa F, Rito M, Cunha TM. Mucocele of the appendix: what to expect. Radiol Bras. 2022;55(3):193-8. [DOI:10.1590/0100-3984.2021.0075]
4. Farooqui F, Latif S, Altaf HN, Waseem S, Khan S, Amir M. Mucocoele of the appendix: A case report. J Pak Med Assoc. 2021;71(4):1260-3.
5. Kudelová E, Grajciar M, Smolar M, Kalman M, Laca L. Laparoscopic Right Hemicolectomy for Appendiceal Mucocele. Acta Medica (Hradec Kralove). 2021;64(3):165-9. [DOI:10.14712/18059694.2021.28]
6. Emile SH, Elfallal AH, Elshobaky A. Giant mucocele of the appendix. Surgery. 2022;171(6):e29-e30. [DOI:10.1016/j.surg.2021.11.015]
7. Hassan Y, Anees A, Peer JA, Yadav M. Three Cases of Appendiceal Mucocele: From Diagnosis to Management. Saudi J Med Med Sci. 2022;10(3):276-80. [DOI:10.4103/sjmms.sjmms_646_21]
8. Khemir A, Ben Brahim E. Appendiceal mucocele. Ann Pathol. 2020;40(6):495. [DOI:10.1016/j.annpat.2020.08.002]
9. Válek VJ, Bartušek D, Svoboda M, Válek V, Procházka V. Appendiceal mucocele - a radiologists view. Rozhl Chir. 2021;100(6):266-70. [DOI:10.33699/PIS.2021.100.6.266-270]
10. Ayadi C, Naggar A, Andour H, Zahrae Chraa F, Jerguigue H, Latib R, et al. Appendiceal mucocele with pseudomyxoma peritonei mimicking ovarian tumor with peritoneal carcinomatosis. Radiol Case Rep. 2022;17(9):3000-4. [DOI:10.1016/j.radcr.2022.05.028]
11. Şentürk M, Yavuz Y, Alkan S, Kafadar MT. The Investigation of 14 Appendiceal Mucocele Cases Encountered in 4850 Appendectomy Patients. J Gastrointest Cancer. 2021;52(2):701-5. [DOI:10.1007/s12029-020-00462-4]
12. Singh MP. A general overview of mucocele of appendix. J Family Med Prim Care. 2020;9(12):5867-71. [DOI:10.4103/jfmpc.jfmpc_1547_20]
13. Klos D, Riško J, Hanuliak J, Loveček M, Mohelníková-Duchoňová B, Lemstrová R, et al. Appendiceal tumors and pseudomyxoma peritonei: current recommendations for clinical practice. Rozhl Chir. 2023;102(1):5-10.
14. Sugarbaker PH, Chang D. Lymph node positive pseudomyxoma peritonei. Eur J Surg Oncol. 2022;48(12):2369-77. [DOI:10.1016/j.ejso.2022.07.018]
15. Charalambous C, Charalambous T, Nikitaras A, Christodoulou P. Superinfection of an Obstructive Appendiceal Mucocele: A Case Report. Cureus. 2022;14(4):e23974. [DOI:10.7759/cureus.23974]
16. Hunsaker JC, Aquino R, Wright B, Kobes P, Kennedy A, Dunn D. Review of appendicitis: routine, complicated, and mimics. Emerg Radiol. 2023;30(1):107-17. [DOI:10.1007/s10140-022-02098-2]
17. Gao J, Chu Z, Chen J, Zheng Y, Huang X, Hu K. Retrospective analysis of 9 cases of appendiceal mucocele in 3,071 cases of appendicitis. Biomed Rep. 2022;17(1):55. [DOI:10.3892/br.2022.1538]
18. Nasif HA, Salloum OH, Al-Atrash SI, Makhlouf TZ, Al-Fallah O, Salhab R. Type IV appendiceal intussusception with mucocele and acute appendicitis: a rare case and diagnostic challenge. J Surg Case Rep. 2025;2025(5):rjaf282. [DOI:10.1093/jscr/rjaf282]
19. Alakeel A, Mubarah A, Alshehri M, Alsannaa F. Incidental detection of appendiceal mucocele during colonoscopy: A case report. Int J Surg Case Rep. 2025;132:111488. [DOI:10.1016/j.ijscr.2025.111488]
20. Le Donne ME, Herman M. Appendiceal Mucocele Presenting as a Cecal Bulge on Surveillance Colonoscopy. Cureus. 2024;16(9):e69283. [DOI:10.7759/cureus.69283]
21. Reddy S, Tote D, Zade A, Gopalan V, Bikkumalla S. Silent but Significant: A Case Report of Appendiceal Mucocele. Cureus. 2024;16(8):e66067. [DOI:10.7759/cureus.66067]
22. Kim HS, Kim HG, Yang SY, Han YD, Hur H, Min BS, et al. Single-incision laparoscopic surgery compared to conventional laparoscopic surgery for appendiceal mucocele: a series of 116 patients. Surg Endosc. 2022;36(1):244-51. [DOI:10.1007/s00464-020-08263-3]
23. Kaneko M, Kawai K, Nozawa H, Hata K, Tanaka T, Nishikawa T, et al. Utility of computed tomography and (18) F-fluorodeoxyglucose with positron emission tomography/computed tomography for distinguishing appendiceal mucocele caused by mucinous adenocarcinoma from other pathologies. Colorectal Dis. 2020;22(12):1984-90. [DOI:10.1111/codi.15308]

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2025 CC BY-NC 4.0 | Journal of Advances in Medical and Biomedical Research

Designed & Developed by : Yektaweb