Diagnostic difficulties and features of endovideosurgical treatment of a patient with mucocele of the appendix
- Authors: Sigua B.V.1, Zemlyanoy V.P.1, Lataria E.L.1, Kurkov A.A.1, Melnikov V.A.1, Vinnichuk S.A.1
-
Affiliations:
- North-Western State Medical University named after I.I. Mechnikov
- Issue: Vol 12, No 2 (2020)
- Pages: 85-90
- Section: Case report
- URL: https://journals.rcsi.science/vszgmu/article/view/33831
- DOI: https://doi.org/10.17816/mechnikov202012285-90
- ID: 33831
Cite item
Abstract
The mucocele of the appendix is the expansion of the appendix with the accumulation of a large amount of mucus. The mechanism and causes of mucocele are not fully understood. According to some authors, such changes in the appendix can occur due to cicatricial narrowing of the lumen of the appendix, compression or blockage of its base. Other authors believe that the mucocele of the appendix is a benign tumor that develops from the remnants of primitive mesenchyme and is sometimes prone to malignancy. Clinical manifestations of mucocele of the appendix are nonspecific. In a number of patients, this disease causes pain in the right abdomen, more often pulling, intermittent. However, the disease is often asymptomatic. In this regard, diagnosis is established only during performing an operation, most often, regarding acute appendicitis. Nevertheless, instrumental diagnostic methods such as ultrasound and computed tomography of the abdominal and pelvic organs make it possible to suspect mucocele. Despite the frequent asymptomatic, non-aggressive course, a number of life-threatening complications can become the outcome of the mucocele of the vermiform appendix. The most formidable complication is the rupture of the appendix with mucus entering free abdominal cavity, followed by the development of peritoneal pseudomyxoma due to implantation of mucus-forming cells. The only option for radical treatment of the mucocele of the appendix is a surgical intervention. A presented clinical case demonstrates the difficulties of diagnosis, as well as the features of surgical treatment of a patient with a mucocele of the appendix.
Keywords
Full Text
##article.viewOnOriginalSite##About the authors
Badri V. Sigua
North-Western State Medical University named after I.I. Mechnikov
Email: dr.sigua@gmail.com
ORCID iD: 0000-0002-4556-4913
д.м.н., профессор кафедры факультетской хирургии им. И.И. Грекова
Russian Federation, Saint-PetersburgVyacheslav P. Zemlyanoy
North-Western State Medical University named after I.I. Mechnikov
Email: zeml.spb@mail.ru
ORCID iD: 0000-0003-2329-0023
д.м.н. профессор, заведующий кафедрой факультетской хирургии им. И.И. Грекова, декан хирургического факультета
Russian Federation, Saint-PetersburgElguja L. Lataria
North-Western State Medical University named after I.I. Mechnikov
Email: Elguja.Lataria@szgmu.ru
Candidate of Medical Sciences, Associate Professor, Vice-Rector for Clinical Work, North-Western Medical University named after I.I. Mechnikov
Russian Federation, Saint PetersburgAlexey A. Kurkov
North-Western State Medical University named after I.I. Mechnikov
Email: dok.kurkov@gmail.com
ORCID iD: 0000-0002-2128-8651
SPIN-code: 6396-4386
Candidate of Medical Sciences, Assistant of the Department of Faculty Surgery named after I. I. Grekov North-Western State Medical University named after I.I. Mechnikov.
Russian Federation, Saint-PetersburgVyacheslav A. Melnikov
North-Western State Medical University named after I.I. Mechnikov
Author for correspondence.
Email: melnikov.szgmu@yandex.ru
ORCID iD: 0000-0002-9723-0392
SPIN-code: 2793-3016
Clinical Resident of the Department of Faculty Surgery named after I. I. Grekov
Russian Federation, Saint-PetersburgSergey A. Vinnichuk
North-Western State Medical University named after I.I. Mechnikov
Email: s.a.vinnichuk@gmail.com
ORCID iD: 0000-0002-9590-6678
SPIN-code: 6448-9110
к.м.н., доцент кафедры патологической анатомии, заведующий Центральным патологоанатомическим отделением ФГБОУ ВО СЗГМУ им. И.И. Мечникова МЗ РФ
Russian Federation, Saint-PetersburgReferences
- Юдин А.Л., Щетинин Р.А., Афанасьева Н.И., Юматов Е.А. Мукоцеле червеобразного отростка // Медицинская визуализация. – 2015. – № 4. – С. 68–78. [Yudin AL, Schetinin RA, Afanasyeva NI, Yumatova EA. Mucocele of the appendix. Medical visualization. 2015;(4):68-78. (In Russ.)]
- Самусенко А.А., Раянов Н.В. Диагностические ошибки в диагностике острого аппендицита у детей раннего возраста // Вестник Северо-Западного государственного медицинского университета. – 2018. – Т. 10. – № 1. – С. 86–88. [Samusenko AA, Rayanov NV. Diagnostic errors in the diagnosis of acute appendicitis in young children. Herald of North-Western State Medical University named after I.I. Mechnikov. 2018;10(1):86-88. (In Russ.)]. https://doi.org/10.17816/mechnikov201810186-88.
- Панасюк А.И., Старовойтова К.А., Панасюк М.А. Мукоцеле червеобразного отростка – одна из масок острого аппендицита // Международный студенческий научный вестник. – 2019. – № 1. – С. 21. [Panasyuk AI, Starovoitova KA, Panasyuk MA. Mucocele of the appendix – one of the masks of acute appendicitis. Mezhdunarodnyy studencheskiy nauchnyy vestnik. 2019;(1):21. (In Russ.)]. https://doi: 10.17513/msnv.19527.
- Лубашев Я.А., Курлович М.В., Буковская Ю.В. Мукоцеле аппендикса – редкая патология, о которой нужно помнить: обзор литературы и собственное клиническое наблюдение // Радиология – практика. – 2013. – № 6. – С. 51–59. [Lubashev YA, Kurlovich MV, Bukovskaya YV. Mucocele of appendix – is a rare pathology that should be kept in mind: а case report with the review of the literature. Radiologiia-praktika. 2013;(6):51-59. (In Russ.)]
- Ruiz-Tovar J, Teruel DG, Castineiras VM, et al. Mucocele of the appendix. World J Surg. 2007;31(3):542-548. https://doi.org/10.1007/s00268-006-0454-1.
- Кохнюк В.Т. Опухоли червеобразного отростка // Новости хирургии. – 2013. – Т. 21. – № 6. – С. 84–88. [Kohnjuk VT. Tumors of the vermiform appendix. Novosti khirurgii. 2013;21(6):84-88. (In Russ.)]. https://doi.org/ 10.18484/2305-0047.2013.6.84.
- Мишин И.В., Данч А.В. Мукоцеле червеобразного отростка // Новости хирургии. – 2012. – Т. 20. – № 3. – С. 125–127. [Mishin IV, Danch AV. Mucocele of the appendix. Novosti khirurgii. 2012;20(3):125-127. (In Russ.)]
- Мелконян Г.Г., Качурин С.А., Ширинский В.Г., и др. Мукоцеле червеобразного отростка. Клиническое наблюдение // Московский хирургический журнал. – 2018. – Т. 61. – № 3. – С. 12–13. [Melkonyan GG, Kachurin SA, Shirinsky VG, et al. Mukotsele cherveobraznogo otrostka. Klinicheskoe nablyudenie. Moskovskiy khirurgicheskiy zhurnal. 2018;61(3):12-13. (In Russ.)]
- Padhy BP, Panda SK. Myxoglobulosis of appendix a rare entiy. Indian J Surg. 2013;75(Suppl 1):337-339. https://doi.org/10.1007/s12262-012-0691-5.
- Kleemann M, Laubert T, Krokowski M, et al. Mucocele of the appendix – a heterogeneous surgical pathology. Zentralbl Chir. 2010;135(4):330-335. https://doi.org/10.1055/s-0029-1224563.
- Абдуллаев А.Г., Полоцкий Б.Е., Давыдов М.И. Современные подходы к лечению псевдомиксомы брюшины // Российский онкологический журнал. – 2013. – № 6. – С. 4–11. [Abdullaev AG, Polotsky BE, Davydov MI. Current approach es to the treatment of peritoneal pseudomyxoma of abdomen. Russian journal of oncology. 2013;(6):4-11. (In Russ.)]
- Жарко С.В., Аль-Канани Э.С., Ярош А.А., и др. Муцинозная цистаденома червеобразного отростка как причина псевдомиксомы брюшины (клинический случай) // Научные ведомости Белогородского государственного университета. – Серия «Медицина. Фармация». – 2019. – Т. 42, № 1. – С. 126-132. [Jarko SV, Al-Kanani ES, Iarosh AA, et al. Mucinous cystadenoma of the appendix as a cause of pseudomyxoma of the peritoneum (clinical case). Belgorod State University scientific bulletin. Medicine, pharmacy. 2019;42(1):126-132. (In Russ.)]. https://doi.org/10.18413/2075-4728-2019-42-1-126-132.
- Filho JGA, Lira EF. Mucocele of the appendix – appendectomy or colectomy? Journal of сoloproctology. 2011;31(3):276-284. https://doi.org/10.1590/S2237-9363 201100030000.