Journal of

Case Reports and Images in Medicine

 
   
Case Report
 
A case of mucinous cystadenoma of appendix: Management and review
Sachin Mohan1, Mehwish Shayaan2, Cynthia A. Griech-McCleery3, Satyajeet Roy4
1MD, PhD, Consultant Department of Gastroenterology and Hepatology, Regions Hospital, Health Partners Medical Group, St Paul, MN,USA
2MBBS, Clinical Extern, Cooper University Hospital, 1103 North Kings Highway, Suite 203, Cherry Hill, NJ
3MD, Assistant Professor of Medicine, Division of Gastroenterology, Cooper University Hospital, 501, Fellowship Road, Suite 101, Mount Laurel, NJ
4MD, FACP, Division of General Internal Medicine, Cooper University Hospital, 1103 North Kings Highway, Suite 203, Cherry Hill, NJ

Article ID: 100036Z09SM2017
doi:10.5348/Z09-2017-36-CR-8

Address correspondence to:
Sachin Mohan MD
PhD, Consultant Department of Gastroenterology and Hepatology, 55130
Regions Hospital, Health Partners Medical Group
St Paul
MN,USA

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How to cite this article
Mohan S, Shayaan M, Griech-McCleery CA, Roy S. A case of mucinous cystadenoma of appendix: Management and review. J Case Rep Images Med 2017;3:25–30.


Abstract
Introduction: Though mucinous cystadenoma of the appendix represents the majority among all primary tumors, tumors of the appendix are still rare. They most commonly present as a mucocele of the appendix during abdominal imaging studies.
Case Report: We report a case of a 52 year-old female who was found to have an enlarged and prolapsed base of the appendix into the cecum during a routine colonoscopic examination for colorectal cancer screening. A computed axial tomography of the abdomen showed a mucocele of the appendix. The patient underwent a laparoscopic hemicolectomy. Histopathological examination revealed a mucinous cystadenoma of the appendix. As these carry a high risk of presence of other coexisting colorectal and ovarian malignancies, a detailed intra-operative exploration of the gastrointestinal tract, ovaries and peritoneum was conducted. A periodic follow-up colonoscopic examination, and examination of the pelvic organs was followed as per the recommendations in such cases.
Conclusion: Our case highlights the importance of diagnosing mucoceles of the appendix, which are rare and often pose a diagnostic challenge. Moreover, their association with coexisting malignancies further warrants the need for a thorough investigation and a broader approach towards the management.

Keywords: Appendiceal tumors, Appendix, Mucinous cystadenoma, Mucocele


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Author Contributions
Sachin Mohan – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Mehwish Shayaan – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Satyajeet Roy – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Cynthia A. Griech-McCleery – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2017 Sachin Mohan et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.


ABOUT THE AUTHORS

Sachin Mohan is a Gastroenterology Consultant at Department of Gastroenterology and Hepatology, Regions Hospital, Health Partners Medical Group, St Paul, MN. He has completed MBBS from King George Medical University, Lucknow, India, Internal Medicine Residency and Gastroenterology fellowship from Cooper Medical School of Rowan University, MD Anderson Cancer Center at Camden, NJ, USA and PhD from Johns Hopkins University School of Medicine, Baltimore, MD, USA. Dr Mohan has published 10 research papers in national and international academic journals and authored chapters in critical care handbook. His research interests include colon cancer, inflammatory bowel disease (IBD), hepatobiliary diseases and pancreatic cancer.


Mehwish Shayaan is Clinical Extern, Cooper University Hospital, 1103 North Kings Highway, Suite 203, Cherry Hill, NJ.



Cynthia A. Griech-McCleery is Assistant Professor of Medicine, Division of Gastroenterology, Cooper University Hospital, 501, Fellowship Road, Suite 101, Mount Laurel, NJ.



Satyajeet Roy is Division of General Internal Medicine, Cooper University Hospital, 1103 North Kings Highway, Suite 203, Cherry Hill, NJ.






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