TITLE:
Appendicular Mucocele: About a Case Observed in Bamako
AUTHORS:
Amara Coulibaly, Abdoul Karim Simaga, Moussa Sissoko, Sekou Koumaré, Sidiki Konaré, Mamedy Doumbia, Zimogo Zié Sanogo
KEYWORDS:
Appendicular Mucocele, Appendicular Tumor, Bamako
JOURNAL NAME:
Surgical Science,
Vol.13 No.12,
December
29,
2022
ABSTRACT: It is a globally rare condition that can present in a variety of clinical
syndromes or can occur as an incidental surgical finding. It poses the double problem
of its possible malignancy and the risk of gelatinous disease of the peritoneum
in the event of perforation. We report a case treated in the “A” Surgery Department
of the Point-G University Hospital Center (CHU) in Mali in 2022. It was a 62-year-old
woman, a housewife who presented to the department. “A” surgery at the Point G University
Hospital Center for pain in the iliac fossa. As a medical history, she was hypertensive
on atenolol and a known diabetic on diet and metformin-based treatment, as well
as symptomatic sickle cell disease (AS) and an undocumented history of peptic ulcer
disease. The biological assessments revealed hyperleukocyte with granulocyte predominance.
C-reactive protein was positive at 32 mg/l. Ultrasound revealed a 27 mm cystic
dilation of the appendicitis in favor of appendicular mucocele. We proceeded with
the appendix. The surgical specimen containing gelatinous fluid was removed and
histological examination was in favor of a mucinous adenocarcinoma of the appendix.