Öz
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.
Anahtar Kelimeler
Kaynakça
- 1. Aho AJ, Heinonen R, Lauren P. Benign and malignant mucocele of the appendix. Histological types and prognosis. Acta Chir Scand. 1973;139(4):392-400.
- 2. Aydin O, Aydin G, Pircaoğlu E, Civelek S, Pehlivanlı F, Karaca G. A Rare appendiceal anomaly: agenesis of the vermiform appendix. KÜ Tıp Fak Derg. 2017;19(1):37-40.
- 3. Dhage-Ivatury S, Sugarbaker PH. Update on the surgical approach to mucocele of the appendix. J Am Coll Surg. 2006;202(4):680-4.
- 4. Aydin O, Pehlivanli F, Karaca G, Aydin G, Özler İ, Daphan ÇE. Mucinous cystadenoma of the appendix. Apollo Med. 2018;15:116-7.
- 5. Takahashi S, Furukawa T, Ueda J. Case report: Mucocele of the tip of the appendix. Clin Radiol. 1998;53(2):149-50.
- 6. Roberge RJ, Park AJ: Mucocele of Appendix. J Emerg Med. 2006;30(3):303-6.
- 7. Korkolis DP, Apostolaki K, Platoniotis GD, Tzorbatzoglou J, Karaitianos IG, Vassilopoulos PP. Mucocele of appendiceal stump due to benign mucinous cystadenoma, Anticancer Res. 2006;26(1B):635-8.
- 8. Soweid AM, Clarkston WK, Andros CH, Janney CG. Diagnosis and management of appendiceal mucoceles. Dig Dis. 1998;16(3):183-6. 9. Kılıç K, Araç M, Özer S, Özakpınar E. Appendiksin musinoz kistadenomu. Tanısal ve Girişimsel Radyoloji. 2001;7(1):128-30.
- 10. Kim SH, Lim HK, Lee WJ, Lim JH, Byun JY. Mucocele of theappendix: ultrasonographic and CT findings. Abdom Imaging. 1998;23(3):292-6.
- 11. Bittle MM, Chew FS. Radiological reasoning: recurrent right lower quadrant inflammatory mass. Am J Roentgenol. 2005;185(3):188-94.
- 12. Brunicardi FC, Andersen DK, Billiar TR. Schwartz’s Principles of Surgery. 8th ed, NewYork. McGraw-Hill, 2005.
- 13. Cotran RS, Kumar V, Robbins SL. Pathologic Basis of Disease. 5th ed, Philadelphia. W.B. Saunders Company, 1994.
- 14. Rosai J. Mucinous tumor like conditions (Including so-called “mucocele”). In: Rosai J, ed. Rosai and Ackerman’s Surgical Pathology. 9th ed, Philadelphia. Elsevier Mosby, 2004:761-5.
Öz
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
Kaynakça
- 1. Aho AJ, Heinonen R, Lauren P. Benign and malignant mucocele of the appendix. Histological types and prognosis. Acta Chir Scand. 1973;139(4):392-400.
- 2. Aydin O, Aydin G, Pircaoğlu E, Civelek S, Pehlivanlı F, Karaca G. A Rare appendiceal anomaly: agenesis of the vermiform appendix. KÜ Tıp Fak Derg. 2017;19(1):37-40.
- 3. Dhage-Ivatury S, Sugarbaker PH. Update on the surgical approach to mucocele of the appendix. J Am Coll Surg. 2006;202(4):680-4.
- 4. Aydin O, Pehlivanli F, Karaca G, Aydin G, Özler İ, Daphan ÇE. Mucinous cystadenoma of the appendix. Apollo Med. 2018;15:116-7.
- 5. Takahashi S, Furukawa T, Ueda J. Case report: Mucocele of the tip of the appendix. Clin Radiol. 1998;53(2):149-50.
- 6. Roberge RJ, Park AJ: Mucocele of Appendix. J Emerg Med. 2006;30(3):303-6.
- 7. Korkolis DP, Apostolaki K, Platoniotis GD, Tzorbatzoglou J, Karaitianos IG, Vassilopoulos PP. Mucocele of appendiceal stump due to benign mucinous cystadenoma, Anticancer Res. 2006;26(1B):635-8.
- 8. Soweid AM, Clarkston WK, Andros CH, Janney CG. Diagnosis and management of appendiceal mucoceles. Dig Dis. 1998;16(3):183-6. 9. Kılıç K, Araç M, Özer S, Özakpınar E. Appendiksin musinoz kistadenomu. Tanısal ve Girişimsel Radyoloji. 2001;7(1):128-30.
- 10. Kim SH, Lim HK, Lee WJ, Lim JH, Byun JY. Mucocele of theappendix: ultrasonographic and CT findings. Abdom Imaging. 1998;23(3):292-6.
- 11. Bittle MM, Chew FS. Radiological reasoning: recurrent right lower quadrant inflammatory mass. Am J Roentgenol. 2005;185(3):188-94.
- 12. Brunicardi FC, Andersen DK, Billiar TR. Schwartz’s Principles of Surgery. 8th ed, NewYork. McGraw-Hill, 2005.
- 13. Cotran RS, Kumar V, Robbins SL. Pathologic Basis of Disease. 5th ed, Philadelphia. W.B. Saunders Company, 1994.
- 14. Rosai J. Mucinous tumor like conditions (Including so-called “mucocele”). In: Rosai J, ed. Rosai and Ackerman’s Surgical Pathology. 9th ed, Philadelphia. Elsevier Mosby, 2004:761-5.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Aralık 2018 |
| Gönderilme Tarihi | 28 Şubat 2018 |
| Yayımlandığı Sayı | Yıl 2018 Cilt: 20 Sayı: 3 |
Kaynak Göster
Bu Dergi, Kırıkkale Üniversitesi Tıp Fakültesi Yayınıdır.