Mehmet Tolga Kafadar, Bahadır Kösem, Emine Kirtiş, Nermin Köşüş, Aydın Köşüş

Sağ adneksiyel kitleyi taklit eden apendiks müsinöz kistadenomu

Apendiks mukoseli anormal müsinöz sekresyonlara bağlı apendiks lümeninin dilatasyonuyla oluşan kitledir. Mukosel, mukozal hiperplazi, müsinöz kistadenoma veya müsinöz kistadenokarsinoma şeklinde epitelyal proliferasyon, müsinöz sekresyon ve lüminal dilatasyon sonucunda oluşur. Apendiks müsinöz kistadenomu en sık görülen şekli olup, farklı klinik tablolarla kendini gösterebilir. Preoperatif tanısı zordur ve genellikle laparotomi sırasında tespit edilir. Rüptür riskinden dolayı mevcut endişelere rağmen, tedavide laparoskopik cerrahi giderek artan sıklıkla uygulanmaktadır. Lezyonun perfore olup içeriğinin peritoneal kaviteye yayılması sonucu psödomiksoma peritonei oluşabilir. Bu yazıda, sağ adneksiyal kitle ön tanısıyla ameliyata alınan ve laparoskopik eksplorasyonda apendiks mukoseli izlenmesi üzerine laparoskopik apendektomi yapılan 75 yaşında kadın bir olgu sunulmuştur.

Appendix mucinous cystadenoma mimicking a right adnexal mass

Appendix mucocele is a mass formed by the dilatation of appendix lumen due to abnormal mucinous secretions. It develops as a result of epithelial proliferation, mucinous secretion, and luminal dilatation on the background of mucosal hyperplasia, mucinous cystadenoma, or mucinous cystadenocarcinoma. Appendix mucinous cystadenoma is the most common type that may have different clinical presentations. The preoperative diagnosis remains difficult and the pathology is usually detected during laparotomy. Despite concerns about the rupture risk of appendix mucoceles, laparoscopic surgery has been increasingly used for its treatment. Perforation of a lesion and spread of its contents into abdominal cavity produces a condition known as pseudomyxoma peritonei. In this paper we report a case of 75-year-old woman who was taken to the operating room to be operated for a right adnexial mass and but ultimately underwent laparoscopic appendectomy after detecting an appendix mucocele in laparoscopic exploration.

Keywords:

Appendix, laparoscopic appendectomy, mucocele,

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