U nhầy ruột thừa: Thông báo lâm sàng và tổng quan y văn

Tran Que Son, Nguyen Tuan Thanh

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Abstract

An appendiceal mucocele is a rare disease characterized by the dilation of the appendix lumen with mucus accumulation. Diagnostics, surgical techniques, and postoperative follow-up are still controversial. We present a case of a 72-year-old male who was medically free and experienced right-sided abdominal pain without any associated nausea or vomiting. Blood analysis showed that the leukocyte count was 12.8×109/L, the percentage of neutrophils was 85.3%, and a normal hematocrit. BMI were 18.2 kg/m2. Colonoscopy showed a 4x4cm tumor with a smooth surface located at the base of the appendix pushing inward. The abdomen's computed tomography revealed a diameter of 28 mm for the appendix, calcification of the thick wall, and a density of 17HU for the appendix lumen. The doctor diagnosed her with appendiceal mucocele and performed a laparoscopic appendectomy, securing the bottom of the cecum with an automatic stapler (60mm and 45mm)., The operation time was 55 minutes and hospital stay were 4 days,. Patient was discharged without any complication. The disease's pathology is low-grade appendiceal mucinous neoplasm (LAMN). This report shows that laparoscopy to remove the appendix and part of the cecum is a minimally invasive, safe and effective method for appendiceal mucocele.

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References

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