Chronic abdominal pain secondary to a mucous cystadenoma of the appendix in a 10-year-old boy

Blecha, Matthew; Gupta, Anita; Hoover, J.; Madonna, Mary Beth

doi:10.1016/j.jpedsurg.2005.07.065

Cited by 12 publications

(11 citation statements)

References 9 publications

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“…As in our case, a palpable mass can be found in 50% of the cases (3,5,8). The intestinal obstruction is a rarely reported complication and frequently caused by intussusception (2, 3).…”

Section: Discussionsupporting

confidence: 62%

“…The term of mucocele is often used as a general macroscopic descriptive term for dilatation of the appendiceal lumen by mucinous secretions (2)(3)(4)(5)(6). MCA is the most common form, accounting for 63% to 84% of mucocele cases (2,4,7).…”

Section: Discussionmentioning

confidence: 99%

“…MCA is the most common form, accounting for 63% to 84% of mucocele cases (2,4,7). Mucinous cystadenoma is a tumor of the appendix associated with cystic dilatation (3,4). The incidence of this entity changes between 0.2 and 0.95% (5).…”

Section: Discussionmentioning

confidence: 99%

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Çocuklarda invajinasyonun nadir bir nedeni: Apendiks müsinöz kistadenomu

Karakuş¹,

Özçetin²,

Atılgan³

et al. 2015

Ege Tıp Dergisi

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SummaryAlthough intussusception is a common cause of intestinal obstruction in children, intussusception of mucinous cystadenoma (MCA) of the appendix characterized by distension of the lumen due to accumulation of the mucoid substance is rarely reported. Diagnosis of MCA is usually made perioperatively. In these cases, as a general approach, an appendectomy is performed for cystadenoma, and right hemi-colectomy is recommended for cystadenocarcinoma. However, the type of surgical treatment is related to the dimensions and histology of the lesions. A 12-year-old boy was admitted to our clinic with symptoms of a mobile and painful mass in the right upper quadrant of the abdomen. Abdominal ultrasonography showed intussusception as well as a large, cystic and solid structure extending from cecum to transverse colon. Reduction of intussusception and right hemi-colectomy were performed subsequent to laparotomy. Pathologic diagnosis was reported as MCA. Although MCA is seen rarely, it always should be kept in mind in differential diagnosis of intussusception and intra abdominal mass, especially in children with abdominal pain and distension.

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“…As in our case, a palpable mass can be found in 50% of the cases (3,5,8). The intestinal obstruction is a rarely reported complication and frequently caused by intussusception (2, 3).…”

Section: Discussionsupporting

confidence: 62%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Çocuklarda invajinasyonun nadir bir nedeni: Apendiks müsinöz kistadenomu

Karakuş¹,

Özçetin²,

Atılgan³

et al. 2015

Ege Tıp Dergisi

View full text Add to dashboard Cite

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“…Although a small portion of AM is asymptomatic, clinical manifestations include right lower abdominal pain, palpable abdominal mass, or gastrointestinal bleeding in majority of the AM [1,3,7,[9][10][11][12] . Among the five cases reported above, three had abdominal pain secondary to mucocele while one had symptoms related to groin hernia and the last patient had abdominal pain due to intestinal infarction.…”

Section: Discussionmentioning

confidence: 99%

Appendiceal mucocele: Case reports and review of current literature

Karakaya

Barut²,

Emre³

et al. 2008

WJG

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Case 1An 82-year-old man was admitted to the hospital because of pain in the right lower quadrant of the abdomen for 3 d. Standard laboratory tests, serum levels of CA 19-9 and carcino-embryonic antigen (CEA) were within normal ranges. Ultrasonography (USG) and computerized tomography (CT) demonstrated a well demarcated, elliptical 7 cm × 5 cm cystic mass with parietal calcifications in the right lower quadrant of the abdomen. There was an indentation in the cecum by colonoscopy. Surgical exploration revealed the mass to be an AM. Simple appendectomy was performed. Pathological examination revealed a mucinous cystadenoma with dimensions of 8 cm × 6 cm × 5.5 cm. AM restricted to the appendix and cecum was free of the disease. The patient's postoperative course was unremarkable, and he was discharged home on the 4th postoperative day. Case 2A 65-year-old woman was referred to the emergency de- CASE REPORT AbstractThe mucocele of the appendix is an uncommon disorder which is often asymptomatic but sometimes causes acute appendicitis-like symptoms. Sometimes, patients with mucocele can present with confusing symptoms. Preoperative suspicion and diagnosis of appendiceal mucocele are important. Ultrasonography and computed tomography are useful tools for the diagnosis of appendiceal mucocele. It may be also recognised by colonoscopy as a smooth submucosal lesion of the cecum. Optimal management of the mucocele could be achieved through accurate preoperative diagnosis. Preoperative diagnosis is a major component for minimizing intra-operative and post-operative complications. We herein report five cases and discuss the diagnostic methods and surgical treatment.

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“…In a 10-year-old boy, chronic right lower abdominal pain every 3 to 6 weeks for the past year prior to presentation was attributed to a mucinous neoplasm of the appendix [1]. Surgical intervention is still the gold standard of making a tissue-based diagnosis of intestinal endometriosis, because only one third of symptomatic patients were suspected of having intestinal endometriosis preoperatively [2].…”

Section: Introductionmentioning

confidence: 99%

Chronic abdominal pain, appendiceal mucinous neoplasm, and concurrent intestinal endometriosis: a case report

et al. 2012

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IntroductionAlthough both appendiceal tumor and intestinal endometriosis have been reported as rare causes of abdominal pain, the coexistence of appendiceal mucinous neoplasm and ileal endometriosis has not previously been reported.Case presentationA 41-year-old Japanese woman presented with a positive fecal occult blood test and a 3-year history of menstruation-related lower abdominal pain. A colonoscopy demonstrated extrinsic compression of the cecum, suggesting a mass arising from the appendix or adjacent structures. Abdominal imaging showed a 6-cm cystic mass with intraluminal thick fluids originating from the appendix. At ileocecal resection for an appendiceal tumor, a 2-cm mass in the terminal ileum was incidentally found, which was included in the surgical specimen. Microscopic examination confirmed a diagnosis of a mucinous neoplasm of the appendix with endometriosis of the terminal ileum.ConclusionsTo avoid urgent surgery for subsequent serious events associated with disease progression, appendiceal tumor and intestinal endometriosis should be ruled out in patients with chronic abdominal pain.

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Chronic abdominal pain secondary to a mucous cystadenoma of the appendix in a 10-year-old boy

Cited by 12 publications

References 9 publications

Çocuklarda invajinasyonun nadir bir nedeni: Apendiks müsinöz kistadenomu

Çocuklarda invajinasyonun nadir bir nedeni: Apendiks müsinöz kistadenomu

Appendiceal mucocele: Case reports and review of current literature

Chronic abdominal pain, appendiceal mucinous neoplasm, and concurrent intestinal endometriosis: a case report

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