Apandiks'in Mukoseli: Nadir Bir Klinik Durum, Olgu Sunumu ve Literatür Derlemesi

Apandiks'in mukoseli mukus birikimi sonrası lümenin tıkanması ve apandiksin distansiyonu ile ortaya çıkan nadir görülen bir durumdur. Tedavi edilmez ise mukosel parçalanıp dağılabilir ve pseudomyxoma peritonei olarak bilinen potansiyel hayati bir klinik tabloya sebep olabilir. Cerrahi tedavinin tipi boyutlarına ve mukosel'in histolojisine bağlıdır. Basit mukosel veya kistadenom tedavisinde appendektomi yeterlidir. Bu yazıda, mukoseli akut karın nedeni ile yapılan ameliyatta ve ameliyat öncesi bilgisayarlı tomografi bulgularıyla tanı koyulan 54 yaşında bayan hastayı sunuyoruz. Ameliyatta 6cm uzunluğunda 3cm çaplı büyük bir apandiks görüldü. Patolojik değerlendirme basit mukosel idi ve ek bir ameliyat yapılmadı.

Anahtar Kelimeler:

Akut karın, Mukosel, Apandisit

Mucocele Of The Appendix: A Rare Clinical Entity, Case Report And Review Of Literature

Mucocele of the appendix is a rare entity, characterized by distension of the appendix lumen due to accumulation of mucus. If untreated, mucocele may rupture producing a potentially fatal entity known as pseudomyxoma peritonei. The type of surgical treatment is related to the dimensions and the histology of the mucocele. Appendectomy is used for simple mucocele or for cystadenoma. In this paper, we report a case of symptomatic 54-year-old woman in whom mucocele was found by surgery because of acute abdomen clinic and preoperative computed tomography scan. Surgery revealed a big appendix measuring 6cm in length and 3cm in diameter. The pathologic diagnosis was simple mucocele, no further operation was performed.

Keywords:

Acute abdomen, Mucocele, Appendicitis,

PDF

___

1. Louis TH, Felter DF. Mucocele of the appendix. Proc (Bayl Univ Med Cent). 2014; 27(1): 33-4.
2. Lien WC, Huang SP, Chi CL, Liu KL, Lin MT, Lai TI, et al. Appendiceal outer diameter as an indicator for differentiating appendiceal mucocele from appendicitis. Am J Emerg Med 2006;24(7):801-5.
3. Pickhardt PJ, Levy AD, Rohrmann CA Jr, Kende AI. Primary neoplasms of the appendix: radiologic spectrum of disease with pathologic correlation. RadioGraphics 2003;23(3):645–662.
4. Rojnoveanu G, Ghidirim G, Mishin I, Vozian M, Mishina A. Preoperatively diagnosed mucocele of the appendix. Chirurgia (Bucur) 2014; 109(3): 416-20.
5. Hassan S, Dhebri A, Lin L, Haque M. Appendiceal mucocele: a missed diagnosis. BMJ Case Rep 2013 Jan 11;2013. doi: 10.1136/bcr-2012-007983.
6. Kim SH, Lim HK, Lee WJ, Lim JH, Byun JY. Mucocele of the appendix: ultrasonographic and CT findings. Abdom Imaging 1998; 23(3): 292-6.
7. Zissin R, Gayer G, Kotos E, Apter S, Peri M, SharipoFeinberg M. Imaging of mucocoele of the appendix with emphasis on the CT findings: a report of 10 cases. Clin Radiol 1999;54(12):826-32.
8. Isaacs KL, Warshauer DM. Mucocele of the appendix: computer tomographic, endoscopic, and pathologic correlation. Am J Gastroenterol 1992;87(6):787-9.
9. Gonzalez Moreno S, Shmookler BM, Sugarbaker PH. Appendiceal mucocele. Contraindication to laparoscopic appendectomy. Surg Endosc 1998;12(9):1177-9.
10. Stevens KJ, Dunn K, Balfour T. Pseudomyxoma extraperitonei: a lethal complication of mucinous adenocarcinoma of the appendix. Am J Gastroenterol 1997;92(10):1920-2.