Impending Rupture With a Twisted Huge Appendiceal Mucocele Treated With Totally Laparoscopic Resection: A Case Series

Torsion of the appendix is rare, and appendiceal mucocele can be one of its causes. The first case was of a 49-year-old man who visited the emergency room (ER) for abdominal pain. Abdominal computed tomography (CT) showed appendiceal mucocele with suspected torsion and rupture. The patient underwent...

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Main Authors: Hong-min Ahn, Si-Hak Lee
Format: Article
Language:English
Published: Korean Society of Coloproctology 2021-07-01
Series:Annals of Coloproctology
Subjects:
Online Access:http://coloproctol.org/upload/pdf/ac-2020-00150-0021.pdf
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author Hong-min Ahn
Si-Hak Lee
author_facet Hong-min Ahn
Si-Hak Lee
author_sort Hong-min Ahn
collection DOAJ
description Torsion of the appendix is rare, and appendiceal mucocele can be one of its causes. The first case was of a 49-year-old man who visited the emergency room (ER) for abdominal pain. Abdominal computed tomography (CT) showed appendiceal mucocele with suspected torsion and rupture. The patient underwent laparoscopic exploration and appendectomy. The second case was of a 69-year-old man who visited the ER for epigastric pain. Abdominal CT showed suspicious appendiceal mucocele with ischemic change, indicating torsion of the appendix. The twisted appendix was successfully removed by laparoscopic exploration. An appendiceal mucocele is one of the causes of twisted appendix. With torsion, the mucocele can be diagnosed as rupture by ischemia which may lead to pseudomyxoma peritonei. For this reason, open laparotomy has traditionally been preferred. However, an unruptured appendiceal mucocele or impending rupture with torsion of the appendiceal mucocele can be treated with totally laparoscopic surgery.
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spelling doaj.art-6ad61922ae58444abad0ae39eab56b552022-12-21T23:44:23ZengKorean Society of ColoproctologyAnnals of Coloproctology2287-97142287-97222021-07-0137Suppl 1S34S3810.3393/ac.2020.00150.00211826Impending Rupture With a Twisted Huge Appendiceal Mucocele Treated With Totally Laparoscopic Resection: A Case SeriesHong-min Ahn0Si-Hak Lee1 Department of Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea Department of Surgery, Pusan National University Yangsan Hospital, Yangsan, KoreaTorsion of the appendix is rare, and appendiceal mucocele can be one of its causes. The first case was of a 49-year-old man who visited the emergency room (ER) for abdominal pain. Abdominal computed tomography (CT) showed appendiceal mucocele with suspected torsion and rupture. The patient underwent laparoscopic exploration and appendectomy. The second case was of a 69-year-old man who visited the ER for epigastric pain. Abdominal CT showed suspicious appendiceal mucocele with ischemic change, indicating torsion of the appendix. The twisted appendix was successfully removed by laparoscopic exploration. An appendiceal mucocele is one of the causes of twisted appendix. With torsion, the mucocele can be diagnosed as rupture by ischemia which may lead to pseudomyxoma peritonei. For this reason, open laparotomy has traditionally been preferred. However, an unruptured appendiceal mucocele or impending rupture with torsion of the appendiceal mucocele can be treated with totally laparoscopic surgery.http://coloproctol.org/upload/pdf/ac-2020-00150-0021.pdftorsion of appendixappendiceal mucocelelaparoscopic appendectomy
spellingShingle Hong-min Ahn
Si-Hak Lee
Impending Rupture With a Twisted Huge Appendiceal Mucocele Treated With Totally Laparoscopic Resection: A Case Series
Annals of Coloproctology
torsion of appendix
appendiceal mucocele
laparoscopic appendectomy
title Impending Rupture With a Twisted Huge Appendiceal Mucocele Treated With Totally Laparoscopic Resection: A Case Series
title_full Impending Rupture With a Twisted Huge Appendiceal Mucocele Treated With Totally Laparoscopic Resection: A Case Series
title_fullStr Impending Rupture With a Twisted Huge Appendiceal Mucocele Treated With Totally Laparoscopic Resection: A Case Series
title_full_unstemmed Impending Rupture With a Twisted Huge Appendiceal Mucocele Treated With Totally Laparoscopic Resection: A Case Series
title_short Impending Rupture With a Twisted Huge Appendiceal Mucocele Treated With Totally Laparoscopic Resection: A Case Series
title_sort impending rupture with a twisted huge appendiceal mucocele treated with totally laparoscopic resection a case series
topic torsion of appendix
appendiceal mucocele
laparoscopic appendectomy
url http://coloproctol.org/upload/pdf/ac-2020-00150-0021.pdf
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