Mucinous cystadenoma of the appendix misdiagnosed as cystic hydatid disease of the liver: a case report

<p>Abstract</p> <p>Introduction</p> <p>Primary neoplastic lesions presenting with a mucocele of the appendix are very rare and can be divided into benign variants of mucinous adenomas or cystadenomas, mucinous tumours of uncertain malignant potential or mucinous cystade...

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Main Authors: Krieg Andreas, Esch Jan, Poll Ludger W, Braunstein Stefan, Knoefel Wolfram T
Format: Article
Language:English
Published: BMC 2008-06-01
Series:Journal of Medical Case Reports
Online Access:http://www.jmedicalcasereports.com/content/2/1/218
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author Krieg Andreas
Esch Jan
Poll Ludger W
Braunstein Stefan
Knoefel Wolfram T
author_facet Krieg Andreas
Esch Jan
Poll Ludger W
Braunstein Stefan
Knoefel Wolfram T
author_sort Krieg Andreas
collection DOAJ
description <p>Abstract</p> <p>Introduction</p> <p>Primary neoplastic lesions presenting with a mucocele of the appendix are very rare and can be divided into benign variants of mucinous adenomas or cystadenomas, mucinous tumours of uncertain malignant potential or mucinous cystadenocarcinomas. Most of these tumourous mucoceles are asymptomatic and are found incidentally. The major complication of neoplastic mucinous appendiceal tumours is the development of a pseudomyxoma peritonei due to spreading of mucin-producing cells within the abdominal cavity.</p> <p>Case presentation</p> <p>A 44-year-old man presented with a history of non-specific symptoms of right upper abdominal pain. Abdominal ultrasound and computed tomography scan identified a cystic mass consistent with the morphological characteristics of an echinococcal hydatid cyst. After completing systemic albendazole therapy, an explorative laparotomy revealed a cystic tumour of the appendix. Ileocaecal resection was performed and pathology reports confirmed the diagnosis of a mucinous cystadenoma of the appendix. The postoperative course was uneventful.</p> <p>Conclusion</p> <p>Here we present the case of a man with a mucinous cystadenoma of the appendix mimicking cystic hydatid disease. We discuss the importance of re-evaluation and differential diagnostic reflections in cases of appendiceal mucocele.</p>
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spelling doaj.art-a5ffc3a56f6a438da180efb88f994efd2022-12-21T23:14:17ZengBMCJournal of Medical Case Reports1752-19472008-06-012121810.1186/1752-1947-2-218Mucinous cystadenoma of the appendix misdiagnosed as cystic hydatid disease of the liver: a case reportKrieg AndreasEsch JanPoll Ludger WBraunstein StefanKnoefel Wolfram T<p>Abstract</p> <p>Introduction</p> <p>Primary neoplastic lesions presenting with a mucocele of the appendix are very rare and can be divided into benign variants of mucinous adenomas or cystadenomas, mucinous tumours of uncertain malignant potential or mucinous cystadenocarcinomas. Most of these tumourous mucoceles are asymptomatic and are found incidentally. The major complication of neoplastic mucinous appendiceal tumours is the development of a pseudomyxoma peritonei due to spreading of mucin-producing cells within the abdominal cavity.</p> <p>Case presentation</p> <p>A 44-year-old man presented with a history of non-specific symptoms of right upper abdominal pain. Abdominal ultrasound and computed tomography scan identified a cystic mass consistent with the morphological characteristics of an echinococcal hydatid cyst. After completing systemic albendazole therapy, an explorative laparotomy revealed a cystic tumour of the appendix. Ileocaecal resection was performed and pathology reports confirmed the diagnosis of a mucinous cystadenoma of the appendix. The postoperative course was uneventful.</p> <p>Conclusion</p> <p>Here we present the case of a man with a mucinous cystadenoma of the appendix mimicking cystic hydatid disease. We discuss the importance of re-evaluation and differential diagnostic reflections in cases of appendiceal mucocele.</p>http://www.jmedicalcasereports.com/content/2/1/218
spellingShingle Krieg Andreas
Esch Jan
Poll Ludger W
Braunstein Stefan
Knoefel Wolfram T
Mucinous cystadenoma of the appendix misdiagnosed as cystic hydatid disease of the liver: a case report
Journal of Medical Case Reports
title Mucinous cystadenoma of the appendix misdiagnosed as cystic hydatid disease of the liver: a case report
title_full Mucinous cystadenoma of the appendix misdiagnosed as cystic hydatid disease of the liver: a case report
title_fullStr Mucinous cystadenoma of the appendix misdiagnosed as cystic hydatid disease of the liver: a case report
title_full_unstemmed Mucinous cystadenoma of the appendix misdiagnosed as cystic hydatid disease of the liver: a case report
title_short Mucinous cystadenoma of the appendix misdiagnosed as cystic hydatid disease of the liver: a case report
title_sort mucinous cystadenoma of the appendix misdiagnosed as cystic hydatid disease of the liver a case report
url http://www.jmedicalcasereports.com/content/2/1/218
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AT pollludgerw mucinouscystadenomaoftheappendixmisdiagnosedascystichydatiddiseaseoftheliveracasereport
AT braunsteinstefan mucinouscystadenomaoftheappendixmisdiagnosedascystichydatiddiseaseoftheliveracasereport
AT knoefelwolframt mucinouscystadenomaoftheappendixmisdiagnosedascystichydatiddiseaseoftheliveracasereport