Faruk PEHLİVANLI, Gökhan KARACA, Çağatay Erden DAPHAN, Anıl Oğuz EROĞLU, Sevilay VURAL, Figen COŞKUN

KARIN AĞRISININ NADİR BİR NEDENİ: APENDİKS MUKOSEL OLGU SUNUMU

Apendiksin mukoseli, apendiks lümeninin anormal müsinöz sekresyonu sebebiyle dilatasyonu ile karakterize nadir görülen klinik bir durumdur. İnflamatuar bir duruma veya tümör kaynaklı olabilir. Mukosel, mukozal hiperplazi, müsinöz kistadenom veya müsinöz kistadenokarsinom sonucunda oluşabilir. Apendiks müsinöz kistadenomu en sık görülen şekli olup çok farklı klinik durumlarla kendini belli eder. Apendektomi spesimenlerinin %0.2‒0.3’ünde saptanır. Preoperatif tanı konması zordur ve sıklıkla laparotomide saptanır. Rüptür riski, klinik olarak cerrahları zorlamaktadır. Cerrahi planlanmasında tam bir konsensus olmamakla birlikte genellikle apendektomi ya da sağ hemikolektomi ameliyatları uygulanır. Bu yazımızda plastron apendisit tanısıyla takip edilip sağ alt kadran ağrısı ve kitle saptanan apendiks mukosel olgusunu literatür eşliğinde tartıştık.

Anahtar Kelimeler:

Mukosel, apendiks, kistadenom

A Rare Cause of Abdominal Pain: A Case of Appendiceal Mucocele

Appendiceal mucocele is a rare clinical condition characterized by dilatation of the appendix lumen due to abnormal mucin secretion. It may be due to inflammatory conditions or neoplastic lesions. Mucocele may occur as a result of mucosal hyperplasia, mucinous cystadenoma or mucinous cystadenocarcinoma histopathologically. Mucinous cystadenoma is the most common form and it manifests itself as many different clinical pictures. It is detected in 0.2‒0.3%of appendectomy specimens. As preoperative diagnosis is often difficult, it is generally detected during laparotomy. Appendiceal mucocele is a clinical challenge for surgeons due to its risks of perforation and dissemination. Although there is no consensus for type of surgical treatment, appendectomy or right hemicolectomy are usually prefered. Herein, we present an appendiceal mucocele cystadenoma case with right lower quadrant pain and palpable mass who was followed up with the pre-diagnosis of plastron appendicitis in the context of the literature.

Keywords:

Mucocele appendix, cystadenoma, appendectomy,

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