Laparoscopic Right Hemicolectomy for Appendiceal Mucocele

Kudelová, Eva; Grajciar, Martin; Smolar, Marek; Kalman, Michal; Laca, Ľudovít

doi:10.14712/18059694.2021.28

Acta Medica > Archive > 2021, Vol. 64 > Issue 3 > Laparoscopic Right Hemicolectomy for…

Acta Med. 2021, 64: 165-169

https://doi.org/10.14712/18059694.2021.28

Laparoscopic Right Hemicolectomy for Appendiceal Mucocele

Eva Kudelová^a, Martin Grajciar^a, Marek Smolar^a, Michal Kalman^b, Ľudovít Laca^a

^aClinic of Surgery and Transplant Centre, Jessenius Faculty of Medicine, Martin, Comenius University Bratislava, Slovakia
^bDepartment of Pathological Anatomy, Jessenius Faculty of Medicine, Martin, Comenius University Bratislava, Slovakia

Received February 20, 2021
Accepted June 11, 2021

Appendiceal mucocele is a rare disease with an incidence of 0.07–0.63% of all appendectomies and was first described in 1842 by Carl von Rokitansky. It is defined as an abnormal intraluminal accumulation of mucin. The clinical picture of AM can vary from asymptomatic mass in the right lower quadrant to symptoms of acute appendicitis. In some cases, AM can be found accidentally on CT performed due to other reasons or during surgery. Diagnosis consists mainly of imaging methods such as ultrasound, CT, and MRI with the finding of encapsulated cystic mass with calcifications. The main goal of surgical treatment is to remove an intact mucocele and prevent spillage of mucin into the peritoneal cavity. We present a case of large mucocele treated with laparoscopic right hemicolectomy.