Low-grade appendicial mucinous neoplasm presenting with obstructed inguinal hernia: a rare association
Keywords:
Appendix, Adenocarcinoma, Pseudomyxoma Peritonei, Inguinal Hernia
Abstract
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.References
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2. 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
3. Emmi S, Galasso MG, Ursino V, Scala R, Guastella T. Appendiceal mucoceles: a case report. Minerva Chir 1998; 53:807-10
4. 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.
5. Kim SH, Lim HK, Lee WJ, Lim JH, Byun JY. Mucocele of the appendix: ultrasonographic and CT findings. Abdom Imaging 1998;23:292-6.
6. Madwed D, Mindelzun R, Jeffrey RB Jr. Mucocele of the appendix: imaging findings. AJR Am J Roentgenol 1992; 159:69-72..
7. Kahn M, Friedman IH. Mucocele of the appendix: diagnosis and surgical management. Dis Colon Rectum 1979;22:267-9.
8. Shayani V. Mucinous cystadenoma of the cecum missed at laparoscopic appendectomy. Surg Endosc 1999;13:1236-7.
9. Machado NO, Chopra P, Pande G. Appendiceal tumour retrospective clinicopathological analysis. Trop Gastroenterol 2004;25:36-9.
Published
2015-07-21
Issue
Section
Case Report
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