Three Cases of Surgical Resection for Mucocele of the Appendix

Abstract

We have experienced 3 cases of surgical resection for mucocele of the appendix. Case 1. A 62-year-old woman was referred to our hospital for melena. As a result of inspection, mucinous cystadenocarcinoma of the vermiform appendix was suspected and right hemicolectomy with lymph node dissection was performed. The final pathological diagnosis was mucinous cystadenocarcinoma. After the operation, she had taken UFT for 2 years. She is still alive without recurrence for 8 years. Case 2. A 64-year-old woman visited a local clinic for right lower abdominal pain. She was referred and admitted to our hospital on suspicion of acute appendicitis. Under a preoperative diagnosis of acute appendicitis, ileocecal resection was performed. The pathological diagnosis was mucinous cystadenoma of the vermiform appendix. She has been alive for 8 years from the operation. Case 3. A 77-year-old woman visited our hospital for epigastralgia. On suspicion of right ovarian cyst, laparoscopic surgery was performed by gynecologists. During the operation, appendiceal tumor was suspected and she was referred to our department. Under the diagnosis of appendiceal mucocele, laparoscopic appendectomy was performed . The pathological diagnosis was low grade appendiceal mucinous neoplasm. She is still alive.