Incidental Diagnosis of Appendiceal Mucocele With Vaginal Ultrasonography and Computed Tomography

Abstract

Early diagnosis and treatment of appendiceal mucocele facilitates the successful management of this rare disorder.

Incidental appendiceal mucinous neoplasm mimicking a left adnexal mass: A case report

“…Several US appearances specific for appendiceal mucocele might be encountered e.g. a bottle-like shaped solid appendicular mass sliding over the uterus and ovaries [ 19 , 20 ] or the highly specific “onion skin sign” (concentric echogenic layers with septa and fine echoes) [ 21 , 22 ] can help to distinguish appendiceal mucocele from an ovarian cyst. Unfortunately, such diagnostic appearances were not evident in the US we undertook.…”

Large Mucocele of the Appendix at Laparoscopy Presenting as an Adnexal Mass in a Postmenopausal Woman: A Case Report

“…This distinguishing feature produces a typical target lesion, characterized by an echogenic submucosal layer sandwiched by the inner hypoechoic lamina propria/muscularis mucosa and outer hypoechoic muscular layer [1]. Appendiceal mucocele appears as a solid mass with a bottle-like or banana-like appearance, sliding freely over the uterus and ovaries [13, 14]. However, a highly specific ultrasonographic marker of an appendiceal mucocele is the “onion skin sign” (concentric echogenic layers with septa and fine echoes) [15].…”

A case of appendiceal mucocele mistaken for ovarian tetaroma

“…Korean J Obstet Gynecol 2012;55(11):887-889 http://dx.doi.org/10.5468/KJOG.2012.55.11.887 pISSN 2233-5188 · eISSN 2233-5196 충수돌기점액종(appendiceal mucocele)은 매우 드문 질환으로 충 수돌기절제술을 시행한 환자의 0.2%-0.3% 빈도로 나타나며, 충수돌 기가 점액으로 확장되어 크기가 증가된 경우를 의미한다 [1,2]. 점액종 은 양성과 악성 종양의 가능성을 모두 가지고 있다 [1].…”

“…점액종 은 양성과 악성 종양의 가능성을 모두 가지고 있다 [1]. 점액성 낭선종 (mucinous cystadenoma)이 조직학적으로 가장 흔한 형태이며, 점액성 낭선암(mucinous cystadenocarcinoma)과 함께 임상적으로 중요한 의 미를 가지고 있다.…”

“…이유는 파열될 경우, 복막위점액종(pseudomyxoma peritonei)를 유발할 수 있기 때문이다 [1,3]. 충수돌기점액종은 보통 54세에서 64세 사이에서 호발하며, 나이가 들수록 악성 가능성이 높아진다 [1] …”