Combination of Mucocele of the Appendix and Chronic Calculous Cholecystitis: Case Report

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Abstract

Background: The analysis of the data presented in the foreign and national literature shows that a combination of the appendix mucocele and calculous cholecystitis is extremely rare, and the implementation of simultaneous surgical treatment in the laparoscopic version is the optimal approach. Clinical case description. Here, we present a clinical case of chronic calculous cholecystitis in combination with mucocele of the appendix in an 84-year-old patient. The main complaint was pulling pain in the right iliac region. The diagnosis was made on the basis of the main and additional methods of examination: clinical picture, ultrasound, multispiral computed tomography and magnetic resonance imaging of the abdominal organs. In a planned manner, a simultaneous surgical intervention was performed consisting of laparoscopic appendectomy and cholecystectomy. The operation duration was 1 hour 15 minutes. The morphological examination confirmed the diagnosis of calculous cholecystitis and mucocele of the appendix. The patient was discharged in a satisfactory condition on the 4th day. Conclusion. This clinical case shows that the dynamic observation of mucocele of the appendix, even in elderly patients with a comorbid pathology, is unjustified. A simultaneous surgical intervention in the form of laparoscopic appendectomy and cholecystectomy treats the two nosologies and prevents repeated hospitalization and surgery.

About the authors

Evgeny A. Akhtanin

A.V. Vishnevsky National Medical Research Center of Surgery

Author for correspondence.
Email: ahtanin.evgenii@mail.ru
ORCID iD: 0000-0002-1543-6419
SPIN-code: 8633-9555

MD, PhD, Research Associate

Russian Federation, Moskow

Aleksander A. Goev

A.V. Vishnevsky National Medical Research Center of Surgery

Email: a_goev@mail.ru
ORCID iD: 0000-0001-9526-4604
SPIN-code: 9228-4380

MD, PhD, Junior Research Associate

Russian Federation, Moskow

Komildzhon U. Shukurov

A.V. Vishnevsky National Medical Research Center of Surgery

Email: shukurovku@gmail.com
ORCID iD: 0000-0002-5109-0056
SPIN-code: 3124-3532

Graduate Student

Russian Federation, Moskow

Pavel V. Markov

A.V. Vishnevsky National Medical Research Center of Surgery

Email: pvmarkov@mail.ru
ORCID iD: 0000-0002-9074-5676
SPIN-code: 6808-9492

MD, PhD, Dr. Sci. (Med.)

Russian Federation, Moskow

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Supplementary files

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2. Fig. 1. A Computed tomography scan of the abdominal organs with intravenous contrast: 1 — calculous cholecystitis; 2 — cystic tumor of the appendix with a diameter of about 7 cm.

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3. Fig. 2. Magnetic resonance imaging of the abdominal organs in the dynamics after 3 years: A cystic tumor of the appendix with a diameter of about 10 cm.

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4. Fig. 3. An intraoperative photograph: 1 — the base of the appendix; 2 — mucocele of the appendix.

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5. Fig. 4. The removed preparations: 1 — the removed appendix with a cystic tumor (mucocele); 2 — the removed gallbladder.

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