Perforated mucocele of the appendix in the left upper quadrant: A challenging anatomy and an improvised surgical technique

Abstract

Highlights Pseudomyxoma peritonei (PMP) is a devastating consequence of perforated appendicular mucocele. It is considered a rare disease. The presence of asymptomatic gut malrotation in adults can complicate the clinical picture of acute abdomen. ** (starting a new highlight point): Not considering possible anatomical variations initially during assessment could delay the diagnosis and managment. The introduction of Cytoreductive Surgery/Heated Intraperitoneal Chemotherapy (CRS/HIPEC) improved the outcome of many patients with PMP. Preserving part of the colon during challenging colorectal resection to allow a colo-rectal anastomosis offers a superior quality of life.