Appendiceal mucocele, characterized by the dilation and obstruction of the appendix due to the accumulation of intraluminal mucus, is a rare condition. This study presents a case of appendiceal mucocele and outlines the diagnostic and therapeutic approach employed.
A 54-year-old female patient presented with abdominal pain, nausea, a bitter taste in her mouth, and constipation that 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. Intraoperatively, torsion of the appendix in three loops was observed. An abdominal assessment revealed no signs of malignancy, and only the distended appendix was resected. Postoperatively, the patient experienced no complications and was discharged without pain or infection.
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, given the potential presence of appendiceal mucocele.