A Case of Mucinous Cystadenoma of Appendix Requiring Ileal Resection

Abstract

The subject was a 66-year-old female who was diagnosed by a local physician with high CEA levels and was referred to our hospital for detailed examination and treatment. An abdominal CT scan revealed an enlarged cystic tumor in the cecum. The tumor was touching the uterine myoma and had a partially indistinct border, which was suggestive of adhesion or infiltration. Surgery was performed by right paramedian incision. The tumor originated from the appendiceal root and the ileal mesentery was firmly adhered to the tumor wall spanning approximately 20cm from Bauhinʼs valve. The possibility of cancer was undeniable and ileocecal resection including approximately 30cm of the terminal ileum was performed. Mucinous cystadenoma of appendix was diagnosed based on histopathological findings. There were no postoperative complications and the subject was discharged from hospital on day 14 in remission. We are reporting a case of mucinous cystadenoma of appendix requiring ileal resection that was firmly adhered to the ileal mesentery, in addition to literary review.