EURORAD ESR

Case 14998

Mucocele of Appendix: A Case Report and Review of Literature

Author(s)
DR. NANJARAJ C P 1
DR. RASHMI U T 2
DR. JAGATHKUMAR B G 3
DR. NISHANTH RK 4
DR. LAL C G 5
DR. DENNIS T 6
DR. PANKAJ D 7
DR. ASHWIN RAGHAVENDRA A 8

MYSORE MEDICAL COLLEGE AND RESEARCH INSTITUTE, IRWIN ROAD, MYSORE - 570001, KARNATAKA, INDIA. Email -ramaniut@gmail.com
 
Patient
female, 35 year(s)
 
 
  • Figure 1
    High resolution ultrasonography of right iliac fossa
     

    High resolution ultrasonography of right iliac fossa in longitudinal view shows a well defined cystic lesion with hyperechoic internal debries and mucosal excrescences in the form of onion skin appearance.

     
    Area of Interest: Abdomen; Imaging Technique: Ultrasound; Procedure: Imaging sequences; Special Focus: Cysts;

    High resolution ultrasonography transverse view of right iliac fossa shows a well defined cystic lesion with hyperechoic internal debries and mucosal excrescences in the form of onion skin appearance.

     
    Area of Interest: Abdomen; Imaging Technique: Ultrasound; Procedure: Imaging sequences; Special Focus: Cysts;
     
     
  • Figure 2
    Axial non-enhanced computed tomography image

    Axial non-enhanced Computed Tomography image of abdomen shows a well defined hypodense lesion of 18 to 20 HU with curvilinear wall calcification seen adjacent to cecum.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Imaging sequences; Special Focus: Calcifications / Calculi;
     
     
  • Figure 3
    Axial contrast enhanced Computed Tomography image

    Axial contrast enhanced Computed Tomography image of abdomen shows a hypodense lesion with peripheral wall enhancement adjacent to cecum.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Imaging sequences; Special Focus: Cysts;
     
     
  • Figure 4
    Coronal and sagittal reformatted contrast enhanced Computed Tomography images
     

    Coronal reformatted contrast enhanced Computed Tomography image shows a well defined hypodense lesion with peripheral curvilinear mural calcification which is closely abutting the adjacent cecal wall.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Imaging sequences; Special Focus: Cysts;

    Sagittal reformatted contrast enhanced Computed Tomography image shows the lesion with curvilinear mural calcification which is closely abutting the adjacent cecal wall.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Imaging sequences; Special Focus: Cysts;
     
     
  • Figure 5
    Per-operative image

    Photograph of surgical specimen showing well defined smooth grossly distended appendix.

     
    Area of Interest: Abdomen; Imaging Technique: PACS; Procedure: Surgery; Special Focus: Dilatation;
     
     
  • Figure 6
    Gross specimen of mucocele

    Gross specimen on dissection showing yellowish thick mucus like material within.

     
    Area of Interest: Abdomen; Imaging Technique: PACS; Procedure: Surgery; Special Focus: Dilatation;
     
     
High resolution ultrasonography of right iliac fossa in longitudinal view shows a well defined cystic lesion with hyperechoic internal debries and mucosal excrescences in the form of onion skin appearance.
 
High resolution ultrasonography transverse view of right iliac fossa shows a well defined cystic lesion with hyperechoic internal debries and mucosal excrescences in the form of onion skin appearance.
 
Axial non-enhanced Computed Tomography image of abdomen shows a well defined hypodense lesion of 18 to 20 HU with curvilinear wall calcification seen adjacent to cecum.
 
Axial contrast enhanced Computed Tomography image of abdomen shows a hypodense lesion with peripheral wall enhancement adjacent to cecum.
 
Coronal reformatted contrast enhanced Computed Tomography image shows a well defined hypodense lesion with peripheral curvilinear mural calcification which is closely abutting the adjacent cecal wall.
 
Sagittal reformatted contrast enhanced Computed Tomography image shows the lesion with curvilinear mural calcification which is closely abutting the adjacent cecal wall.
 
Photograph of surgical specimen showing well defined smooth grossly distended appendix.
 
Gross specimen on dissection showing yellowish thick mucus like material within.
 
 
 
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