The Analysis of Appendiceal Mucocele with Emphasis on the Colonoscopic Findings.
- Author:
Bong Luck PAIK
1
;
Ae Ran KIM
;
Jae Ho LEE
;
Sang Bong LEE
;
Hee KIM
;
Sung Jae PARK
;
Sam Ryong JI
;
Eun Tack PARK
;
Youn Jae LEE
;
Sang Hyuk LEE
;
Sang Young SEOL
;
Jung Myung CHUNG
;
Soo Jin JUNG
Author Information
1. Department of Internal Medicine, Ulsan Hospital, Ulsan, Korea.
- Publication Type:Original Article
- Keywords:
Appendiceal mucocele;
Colonoscopy
- MeSH:
Appendix;
Colonoscopy;
Cystadenocarcinoma, Mucinous;
Cystadenoma, Mucinous;
Diagnosis;
Early Diagnosis;
Humans;
Hyperplasia;
Medical Records;
Middle Aged;
Mucocele*;
Pseudomyxoma Peritonei;
Rare Diseases;
Retrospective Studies;
Rupture
- From:Korean Journal of Gastrointestinal Endoscopy
2005;30(5):243-248
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND/AIMS: Appendiceal mucocele is relatively rare disease, however early diagnosis and adequate treatment is important because the rupture of mucocele during operation may results in pseudomyxoma peritonei which is fatal. Colonoscopy is very important tool to diagnose the mucocele of appendix earlier period. METHODS: We retrospectively analysed the medical records of ten cases of appendiceal mucoceles which were suspected by colonoscopy and surgically confirmed from January 1997 to March 2004. RESULTS: There was no gender difference and mean age was 55 years old. The colonoscopic findings of appendiceal mucocele were a type of submucosal tumor and the orifice of appendix was not seen in all the cases. The size was variable from 2.5 cm to 5.0 cm and the shape was spherical in majority, but one case of appendiceal mucocele lately diagnosed as mucinous cystadenocarcinoma had elongated, oval shape. The histologic diagnosis after resection were as follows: mucosal hyperplasia 4 cases (40%), mucinous cystadenoma 5 cases (50%) and mucinous cystadenocarcinoma 1 case (10%). CONCLUSIONS: Colonoscopy is an important diagnostic tool for suspecting appendiceal mucocele. It is important to confirm by surgical resection of appendiceal mucocele which is found even incidentally by colonoscopy.
