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Kim, Kim, Kim, and Jee: A case of appendiceal mucocele mistaken for ovarian tetaroma
Case Report
Korean Journal of Obstetrics & Gynecology

Korean Journal of Obstetrics & Gynecology 2012; 55(11): 887-889.

Published online: 16 November 2012

DOI: https://doi.org/10.5468/KJOG.2012.55.11.887

A case of appendiceal mucocele mistaken for ovarian tetaroma

Young Dae Kim, MD1, Se Ik Kim, MD1, Jee Hyun Kim, MD2, Byung Chul Jee, MD, PhD1, 2

1Department of Obstetrics and Gynecology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.

2Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.

Corresponding author: Byung Chul Jee, MD, PhD. Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, 82 Gumi-ro 173beon-gil, Bundang-gu, Seongnam, 463-707, Korea. Tel: +82-31-787-7254, Fax: +82-31-787-4054, blasto@snubh.org

Received 24 May 2012       Revised 9 August 2012       Accepted 4 September 2012

Copyright © 2012. Korean Society of Obstetrics and Gynecology

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Appendiceal mucocele is a rare entity that can present in a variety of ways. The incidence is estimated to be 0.2% to 0.3% of appendectomy specimens. Appendiceal mucocele refers to dilatation of the appendiceal lumen by an abnormal accumulation of mucus. It can be confused radiologically with an ovarian teratoma, which may prove to be a diagnostic challenge. Early diagnosis and prompt treatment is important to avoid unintended rupture and the development of pseudomyxoma peritonei. The diagnosis of mucocele of the appendix as well as other appendiceal neoplasms should be considered by the gynecologist in the differential diagnosis of a right-sided adnexal tumor. We report a case of appendiceal mucocele mistaken for ovarian teratoma in a 59-year-old women.

Keywords: Appendix, Mucocele, Dermoid cyst

Figures and Tables

Fig. 1
Preoperative transvaginal ultrasound image. A cystic mass contained fatty material in right pelvic area (white arrow).
kjog-55-887-g001
Fig. 2
Preoperative pelvic computed tomography image. A 4×3 cm-sized pelvic mass contained fatty material and cystic fluid (white arrow).
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Fig. 3
Intraoperative pelviscopic picture of appendiceal mucocele.
kjog-55-887-g003

References

1. Malave C, Wynn G, Nussbaum MS, Kaunitz AM. Incidental diagnosis of appendiceal mucocele with vaginal ultrasonography and computed tomography. Obstet Gynecol. 2011. 117:479–481.
2. Rampone B, Roviello F, Marrelli D, Pinto E. Giant appendiceal mucocele: report of a case and brief review. World J Gastroenterol. 2005. 11:4761–4763.
3. Balci O, Ozdemir S, Mahmoud AS. Appendiceal mucocele mimicking a cystic right adnexal mass. Taiwan J Obstet Gynecol. 2009. 48:412–414.
4. Vavilis D, Athanatos D, Tsolakidis D, Papanicolaou A, Bontis JN. Mucocele of the appendix mimicking an adnexal mass: a case report. Clin Exp Obstet Gynecol. 2009. 36:135–136.
5. Karakaya K, Barut F, Emre AU, Ucan HB, Cakmak GK, Irkorucu O, et al. Appendiceal mucocele: case reports and review of current literature. World J Gastroenterol. 2008. 14:2280–2283.
6. Ruiz-Tovar J, Teruel DG, Castiñeiras VM, Dehesa AS, Quindós PL, Molina EM. Mucocele of the appendix. World J Surg. 2007. 31:542–548.
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