Low-grade appendicial mucinous neoplasm presenting with obstructed inguinal hernia: a rare association
Low grade appendicial mucinous neoplasm is a rare entity. It is grouped under appendicial adenocarcinoma. Though it presents commonly with pain abdomen, asymptomatic patients are not uncommon. It is a low grade neoplasm, but capable of producing progressive and fatal disease in the form of pseudomyxoma peritonei. Management in case of localised appendicial disease includes simple appendectomy. We came across a patient presenting with obstructed inguinal hernia. While performing emergency exploration, a dilated appendix was uncovered. Appendectomy was done as a result and the histopathological examination of the appendix revealed that it was a low grade appendicial mucinous neoplasm.
Full Text:FULL TEXT PDF
Carr NJ, Sobin LH. Adenocarcinoma of the appendix In: Bosman FT, Carneiro F, Hruban RH, Theise ND,editors. WHO classification of Tumors of the Digestive System,4th ed Lyon, France: IARC; 2010. 122-125
Wang KC, Chen CH, Chen CZ, Huang HY, Jau JY, Lin TC et al. Low- grade appendicial mucinous neoplasm: a rare cause of acute abdomen. J Soc Colon Rectal Surgeon. 2012
Emmi S, Galasso MG, Ursino V, Scala R, Guastella T. Appendiceal mucoceles: a case report. Minerva Chir 1998; 53:807-10
Higa E, Rosai J, Pizzimbono CA, Wise L. Mucosal hyperplasia, mucinous cystadenoma, and mucinous cystadenocarcinoma of the appendix. A re-evaluation of appendiceal “mucocele”. Cancer 1973;32:1525-41.
Kim SH, Lim HK, Lee WJ, Lim JH, Byun JY. Mucocele of the appendix: ultrasonographic and CT findings. Abdom Imaging 1998;23:292-6.
Madwed D, Mindelzun R, Jeffrey RB Jr. Mucocele of the appendix: imaging findings. AJR Am J Roentgenol 1992; 159:69-72..
Kahn M, Friedman IH. Mucocele of the appendix: diagnosis and surgical management. Dis Colon Rectum 1979;22:267-9.
Shayani V. Mucinous cystadenoma of the cecum missed at laparoscopic appendectomy. Surg Endosc 1999;13:1236-7.
Machado NO, Chopra P, Pande G. Appendiceal tumour retrospective clinicopathological analysis. Trop Gastroenterol 2004;25:36-9.
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution 3.0 License.
Annals of Pathology and Laboratory Medicine (APALM) is licensed under a Creative Commons Attribution 4.0 International License. Based on a work at www.pacificejournals.com/apalm.