scholarly journals Mucocele of the appendix: a rare case report

2017 ◽  
Vol 4 (2) ◽  
pp. 789
Author(s):  
Sudarshan P. B. ◽  
Reshma S.
Keyword(s):  
Acute Appendicitis ◽  
Histopathological Examination ◽  
Correct Diagnosis ◽  
Open Appendectomy ◽  
Cystic Mass ◽  
Free Fluid ◽  
Histopathologic Diagnosis ◽  
Rare Case Report ◽  
Mucocele Of The Appendix ◽  
Mucous Cyst

Appendiceal mucocele is a rare disease. Sometimes it is discovered accidentally and sometimes it resembles acute appendicitis. Correct diagnosis before surgery is important for the selection of adequate surgical treatment to avoid intraoperative and postoperative complications. Ultrasonography, and particularly computed tomography, should be used extensively for this purpose. If mucocele is treated incorrectly, pseudomyxoma peritonei may develop. We present a case of 22 year old man who was admitted to the emergency department with the signs of acute appendicitis. Emergency open appendectomy was performed. At the time of surgery, a cystic mass was found at the tip of the inflammed appendix. No free fluid was found in the peritoneal cavity. Diagnosis of Mucocele of appendix was suspected. Appendectomy was done and specimen sent for histopathological examination. No lymphadenopathy. Histopathologic diagnosis was subacute appendicitis, mucocele of appendix with simple mucous cyst. Patient is on regular follow-up.

scholarly journals Mucocele of the Appendix: Case Report and Review of Literature

2012 ◽  
Vol 97 (3) ◽  
pp. 266-269 ◽  
Author(s):  
Zaza Demetrashvili ◽  
Mamuka Chkhaidze ◽  
Kakhi Khutsishvili ◽  
Gega Topchishvili ◽  
Tamar Javakhishvili ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Iliac Fossa ◽  
Correct Diagnosis ◽  
Mucinous Cystadenoma ◽  
Cystic Mass ◽  
Review Of Literature ◽  
Appendiceal Mucocele ◽  
Mucocele Of The Appendix ◽  
The Right ◽  
Selection Of

Abstract Appendiceal mucocele is a rare disease. Sometimes it is discovered accidentally and sometimes it resembles acute appendicitis. Correct diagnosis before surgery is very important for the selection of adequate surgical treatment to avoid intraoperative and postoperative complications. Ultrasonography, and particularly computed tomography, should be used extensively for this purpose. If mucocele is treated incorrectly pseudomyxoma peritonei, which is characterized by malignant process, may develop. We present a case of a 54-year-old man who was admitted to the emergency department with the signs of acute appendicitis. Open surgery was performed. At the time of surgery, a cystic mass of the appendix with dimensions 7 × 4 ×3 cm, with inflamed walls, but without perforation was discovered in the right iliac fossa. No discharge was found in the peritoneal cavity. Diagnosis of mucocele was suspected. Only appendectomy was performed because no pathologic process was found in the base of the appendix and lymph nodes were not increased in size. Hystopathologic diagnosis was mucinous cystadenoma. After 2 years, the patient is feeling well.

Efficacy of Laparoscopic Appendectomy in Appendicitis with Peritonitisa

2005 ◽  
Vol 71 (1) ◽  
pp. 1-5 ◽  
Author(s):  
Gregory J. Mancini ◽  
Matthew L. Mancini ◽  
Henry S. Nelson
Keyword(s):  
Acute Appendicitis ◽  
Laparoscopic Appendectomy ◽  
Conversion Rate ◽  
Open Appendectomy ◽  
Free Fluid ◽  
Complication Rates ◽  
Abdominal Abscess ◽  
Hospital Stays ◽  
Technical Failures ◽  
Preoperative Factors

Laparoscopic appendectomy (LA) is safe and effective in cases of peritonitis, perforation, and abscess. We investigated our conversion rate and clinical outcomes in this patient population, as well as preoperative factors that predict operative conversion. A retrospective nonrandomized cohort of 92 patients underwent LA for acute appendicitis with peritonitis, perforation, or abscess at our institution between 1997 and 2002. Thirty-six of the 92 were converted to open appendectomy (OA), yielding a conversion rate of 39 per cent. The presence of phlegmon (42%), nonvisualized appendix (44%), technical failures (8%), and bleeding (6%) were reasons for conversion. Preoperative data had no predictive value for conversion. CT scan findings of free fluid, phlegmon, and abscess did not correlate with findings at the time of surgery. Total complication rates were 8.9 per cent in the LA group as compared to 50 per cent in the converted cohort. Postoperative data showed LA patients stayed 3.2 days versus 6.9 days for converted patients ( P = 0.01). LA patients had less pneumonia ( P = 0.02), intra-abdominal abscess ( P = 0.01), ileus ( P = 0.01), and readmissions ( P = 0.01). LA is safe and effective in patients with appendicitis with peritonitis, perforation, and abscess, resulting in shorter hospital stays and less complication.

scholarly journals Hydatid cyst of broad ligament: a rare case report

2020 ◽  
Vol 7 (4) ◽  
pp. 1298
Author(s):  
Ajay Gujar ◽  
Jayant Pednekar ◽  
Nida Khan ◽  
Anurag Tiwary ◽  
Rohith Pillai ◽  
...  
Keyword(s):  
Hydatid Cyst ◽  
Genital Tract ◽  
Histopathological Examination ◽  
Broad Ligament ◽  
Female Genital Tract ◽  
Surgical Excision ◽  
Cystic Mass ◽  
Rare Case Report ◽  
Peculiar Case ◽  
Female Genital

Hydatid cyst is a parasitic disease caused by tapeworm Echinococcus. It affects the liver and lung most commonly, but may rarely affect fallopian tube, broad ligament and other structures. One such peculiar case is where a 17 years old female presented with a rapidly growing cystic mass in lower abdomen, clinically suspicious of ovarian mass or mesentric cyst. Investigations failed to identify the nature. On laparotomy, excision of the mass was done. Suprisingly histopathological examination identified the lesion as hydatid cyst arising from the broad ligament. Patient responded well to surgical excision followed by albendazole administration. Female genital tract hydatidosis is a rare entity and in most cases the involvement is secondary. Primary hydatid disease of female genital tract is even very rarer and generates considerable diagnostic difficulty.

scholarly journals A Rare Case Report of Venous Malformation of the Submandibular Gland- Masson’s Haemangioma

2021 ◽  
Author(s):  
Priya Kanagamuthu ◽  
Aswin Vaishali ◽  
S Rajasekaran ◽  
S Prabakaran ◽  
Balaji Dhanasekaran
Keyword(s):  
Histopathological Examination ◽  
Venous Malformation ◽  
Correct Diagnosis ◽  
Surgical Excision ◽  
Low Flow ◽  
Submandibular Region ◽  
Complete Surgical Excision ◽  
Incomplete Removal ◽  
Rare Case Report ◽  
Magnetic Resonance Imaging Mri

Masson’s haemangioma was first described by Masson in 1923 as “haemangioendothelioma vegetant intravasculaire”. It is common in skin and subcutis which appears as red blue nodule. It also occurs in fingers, trunk, head and neck, heart, larynx and hypopharynx. Masson’s haemangioma is a rare venous malformation. Treatment is complete surgical excision. It is rarely known to recur. It is a locally occuring lesion with no reports of metastasis. Venous malformation can be distinguished by their characteristic imaging findings at doppler ultrasound vs Magnetic Resonance Imaging (MRI) and direct phlebography. A 30-year-old male presented with swelling in the left submandibular region for one month. On examination a cystic swelling was present in left submandibular region. Ultrasound Sonography test (USG) neck with doppler revealed multilocular cystic swelling with low level internal echoes in left submandibular region suggestive of low flow venolymphatic malformation. The mass was surgically excised and sent for histopathological examination and reported as masson’s haemangioma. Masson’s haemangioma is a rare venous malformation. Appropriate history, clinical examination and investigation leads to the correct diagnosis and treatment. Incomplete removal of the mass leads to recurrence. The patient was still on follow-up and no recurrence was noted.

scholarly journals A Massive Ovarian Mucinous Cystadenoma: A Rare Case Report

2015 ◽  
Vol 3 (1) ◽  
pp. 48-51
Author(s):  
Ruma Sen Gupta ◽  
Suha Jesmen ◽  
Aysha Noor ◽  
Shahana Shermin
Keyword(s):  
Case Report ◽  
Ovarian Cyst ◽  
Histopathological Examination ◽  
Abdominal Mass ◽  
Mucinous Cystadenoma ◽  
Abdominal Distension ◽  
Cystic Mass ◽  
Surface Epithelium ◽  
Rare Case Report ◽  
Left Fallopian Tube

Ovarian mucinous cystadenoma is a benign tumour that arises from the surface epithelium of the ovary. It tends to be huge in size if not detected early. We describe a 32 year old woman (para 1+0) presented with marked abdominal distension, discomfort and vague pain in the abdomen with dyspepsia, anorexia, nausea, vomiting and irregular menstruation for last three months with the suspicion of pregnancy. On examination no findings were in favour of pregnancy, rather an ill defined abdominal mass about 30 weeks pregnancy size was found. Transabdominal USG revealed a big multiloculated ovarian cyst of about 25x20 cm. On laparotomy a huge cystic mass was noticed arising from left ovary. The cyst wall was smooth, intact and without any external projection though adherent with the left fallopian tube and left salpingo-oophorectomy was done. Histopathological examination revealed an ovarian cyst compatible with mucinous cystadenoma. Such giant ovarian tumours have become rare in current practice. This case report emphasizes the significance of thorough evaluation of all women presented with non specific complaints like vague abdominal pain or simple dyspepsia. Although the condition is rare, it is potentially dangerous in the massive form if not timely diagnosed and managed properly. With the increasing awareness of such conditions, more and more cases could be detected and reported early. DOI: http://dx.doi.org/10.3329/dmcj.v3i1.22239 Delta Med Col J. Jan 2015; 3(1): 48-51

An Imaging Diagnostic Protocol in Children with Clinically Suspected Acute Appendicitis

2016 ◽  
Vol 82 (5) ◽  
pp. 390-396 ◽  
Author(s):  
Matias Epifanio ◽  
Marco Antonio De Medeiros Lima ◽  
Patricia Corrêa ◽  
Matteo Baldisserotto
Keyword(s):  
Acute Appendicitis ◽  
Predictive Value ◽  
Iliac Fossa ◽  
Correct Diagnosis ◽  
Signs And Symptoms ◽  
Clinical Findings ◽  
The Other ◽  
Free Fluid ◽  
Diagnostic Strategy ◽  
The Right

The objective of the present study is to evaluate a new diagnostic strategy using clinical findings followed by ultrasound (US) and, in selected cases, MRI. This study included 166 children presenting signs and symptoms suggesting acute appendicitis. Cases classified as suggesting appendicitis according to clinical exams had to be referred to surgery, whereas the other cases were discharged. Unclear cases were evaluated using US. If the US results were considered inconclusive, patients underwent MRI. Of the 166 patients, 78 (47%) had acute appendicitis and 88 (53%) had other diseases. The strategy under study had a sensitivity of 96 per cent, specificity of 100 per cent, positive predictive value of 100 per cent, negative predictive value of 97 per cent, and accuracy of 98 per cent. Eight patients remained undiagnosed and underwent MRI. After MRI two girls presented normal appendixes and were discharged. One girl had an enlarged appendix on MRI and appendicitis could have been confirmed by surgery. In the other five patients, no other sign of the disease was detected by MRI such as an inflammatory mass, free fluid or an abscess in the right iliac fossa. All of them were discharged after clinical observation. In the vast majority of cases the correct diagnosis was reached by clinical and US examinations. When clinical assessment and US findings were inconclusive, MRI was useful to detect normal and abnormal appendixes and valuable to rule out other abdominal pathologies that mimic appendicitis.

scholarly journals Gastric Mixed Neuroendocrine-Nonneuroendocrine Neoplasm: A rare case report

2021 ◽  
Vol 8 (4) ◽  
pp. 291-293
Author(s):  
Mecdi Gurhan Balci ◽  
Mahir Tayfur
Keyword(s):  
Histopathological Examination ◽  
Epigastric Pain ◽  
Correct Diagnosis ◽  
Neuroendocrine Cells ◽  
Neuroendocrine Neoplasm ◽  
Neuroendocrine Neoplasms ◽  
Ki 67 ◽  
Rare Case Report ◽  
Atypical Cells ◽  
Strong Staining

Objective: The incidence of gastric neuroendocrine neoplasms is less than 1%. They are seen as combined tumors with non-neuroendocrine neoplasms at a rate of approximately 7%. This study aims to share the case of mixed neuroendocrine and non-neuroendocrine cancer with the literature. Case: Endoscopic biopsies were taken from the tumoral mass detected in the gastric cardia region at endoscopy in a 60-year-old male patient that has complaints of weight loss and epigastric pain. Histopathological examination revealed malignant tumor infiltration that consisting of neuroendocrine cells with large nuclei and narrow cytoplasm in some areas and adenoid structures composed of atypical cells with pleomorphic large nuclei in some areas. Strong staining was observed in neuroendocrine areas with neuroendocrine markers such as synaptophysin and Chromogranin. Ki-67 proliferative index and mitotic activity were high in neuroendocrine neoplasm areas. The case was reported as a high-grade neuroendocrine-non neuroendocrine mixed neoplasm. Conclusion: Gastric Mixed Neuroendocrine-Nonneuroendocrine neoplasms are rare cases and correct diagnosis and grading are important in the treatment and patient follow-up protocol.

scholarly journals A Primary Intramuscular Hydatid Cyst of the Proximal Thigh : A Rare Case Report

2018 ◽  
Vol 24 (2) ◽  
pp. 142-144
Author(s):  
M Hafizur Rahman ◽  
ASM Zakir Hossain ◽  
M Saiful Islam ◽  
Khodeza Khatun ◽  
M Anisur Rahman ◽  
...  
Keyword(s):  
Hydatid Cyst ◽  
Rare Case ◽  
Unusual Case ◽  
Histopathological Examination ◽  
Cystic Mass ◽  
Parasitic Disease ◽  
Rare Case Report ◽  
Primary Hydatid Cyst ◽  
Proximal Thigh ◽  
Primary Intramuscular

Primary intramuscular hydatid cyst of thigh is a very rare parasitic disease caused by Echinococcus granulosus. We present an unusual case of primary hydatid cyst in a 21-year old male who presented with slowly growing painless lump in the anteromedial aspect of proximal right thigh. Ultrasonography of the mass revealed a multiloculated cyst in the medial compartment of right proximal thigh without detectable primary any other location. MRI clearly displayed the lesion showing cystic mass with multiple well defined daughter cysts and diagnosis of hydatid cyst was made. The patient was treated surgically and cyst was excised. Macroscopic and microscopic histopathological examination confirmed the diagnosis of muscular hydatid cyst. Primary muscular hydatidosis is kept in mind in the differential diagnosis of a cystic mass of a skeletal muscle especially in endemic areas.TAJ 2011; 24(2): 142-144

Leiomyosarcoma mimicking acute appendicitis: a cautionary tale!

2021 ◽  
Vol 14 (1) ◽  
pp. e238788
Author(s):  
Louise Dunphy ◽  
Raluca Daniela Badea ◽  
Fawaz Musa ◽  
Fabian Chen
Keyword(s):  
Acute Appendicitis ◽  
Cell Lymphoma ◽  
Histopathological Examination ◽  
Open Appendectomy ◽  
B Cell Lymphoma ◽  
Surgical Excision ◽  
Response To Treatment ◽  
Cautionary Tale ◽  
Mesenchymal Tumour ◽  
Appendiceal Neoplasms

Appendiceal neoplasms are rare, occurring in <1.4% of all appendicectomy specimens. Carcinoid tumours and adenocarcinomas comprise the majority of cases, however, lymphomas or sarcomas may also arise within the appendix. Appendiceal leiomyosarcomas are rare and to date, there remains a relative dearth of cases reported in the literature. Leiomyosarcomas are derived from the smooth muscle cells or mesenchymal stem cells committed to this line of differentiation. However, their pathogenesis and underlying genetic mechanism remains to be fully elucidated. Unbalanced karyotypic defects are the only shared features observed across different leiomyosarcoma subtypes. Children with AIDS have a higher incidence compared with adults, where the main pathology in individuals with HIV is Kaposi’s sarcoma and B-cell lymphoma. Although surgical excision with clear margins remains the treatment of choice, a good response to treatment with gemcitabine, docetaxel and trabectedin has been observed. The authors present the case of a 23-year-old female presenting to the emergency department with acute appendicitis. She underwent a laparoscopic converted to an open appendectomy. Her operation was complicated by a pelvic collection requiring percutaneous drainage and an ileus. Histopathological examination confirmed the diagnosis of a leiomyosarcoma, a rare mesenchymal tumour presenting in individuals with immune suppression. HIV serology was positive and she commenced anti-retroviral therapy. She remains under review in the Department of HIV Medicine.

scholarly journals Mucocele/mucinous cystadenocarcinoma of the appendix

2021 ◽  
Vol 17 (1) ◽  
pp. 67-71
Author(s):  
Ya.I. Lomei ◽  
T.M. Demkovich ◽  
Yu.Ya. Lomei
Keyword(s):  
Acute Appendicitis ◽  
Surgical Intervention ◽  
Histopathological Examination ◽  
Clinical Manifestations ◽  
High Tech ◽  
Work Processes ◽  
Mucocele Of The Appendix ◽  
Globalized World ◽  
Flow Of Information ◽  
Histological Form

In today’s globalized world, people are significantly affected by the incredibly increased flow of information, obtained mainly from electronic media, crazy speeds, complex high-tech work processes, unhealthy environment, sometimes difficult relationships in society, inflated demands on themselves and others, etc. All this leads to premature depletion of the body’s creative resource, its weakening, development of a variety of diseases, and at an earlier age, including oncopathology. Mucocele of the appendix is a rare pathology with uncharacteristic clinical manifestations, which often resemble acute appendicitis. Surgical intervention should be performed with the maximum prevention of potential dissemination of the contents of the tumor, and its volume depends on the histological form of the pathology. In our patient, the chronic painful process of the appendix sharply “exploded” with the clinical picture of acute appendicitis, which attracted the attention of the patient and physicians. Timely standard appendectomy has now led to the “recovery” of the patient. Otherwise, the course of the disease could end unfavorably. The purpose of our work was to remind everyone of the importance of timely diagnosis of the disease the accuracy of which is confirmed by histopathological examination of the surgical material of the disease-altered organ. The clinical case of mucocele/mucinous cystoadenocarcinoma of the appendix in a female patient V., 51 years old, was analyzed from our practical work, it manifested itself as an acute appendicitis. The results of laboratory and instrumental examination of the patient are presented. However, the real painful changes of the appendix are established postoperatively.

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