Global Journal of Medical Research, I: Surgeries and Cardiovascular System, Volume 22 Issue 2

part. The right uterine appendages were unremarkable. An appendectomy was performed (Figure 4). The postoperative course was simple and the patient was discharged at 2 days postoperatively. Anatomopathological examination of the appendectomy specimen showed a mucinous cystadenocarcinoma without invasion of the appendicular base. There was no metastatic embolism in the vessels and no perineural envelopment. Pelvic ultrasound performed at three months post-op showed normal right and left uterine appendages. The colonoscopy performed at the same date was normal. The patient refused the proposed reintervention to perform a hemicolectomy. Tumor markers (CEA, CA 19- 9 ca 125) were normal at 12 and 24 months. The last pelvic ultrasound done after 36 months was normal. She was subsequently lost to follow-up. Figure 4: Appendectomy specimen for appendiceal mucocele: Note the swollen appearance of the appendix especially marked in its proximal half. Observation 4 A 54-year-old patient was admitted to the emergency room with sudden onset right iliac fossa pain that had been evolving for 4 days with nausea but no transit disorders. On clinical examination, the temperature was 38.5°C, there was pain and tenderness in the right iliac fossa. Abdominal ultrasound was not performed. The sedimentation rate was accelerated with figures of 30 at the first hour and 50 at the second hour. The white blood cell count was 10300/mm3. The C- reactive protein was increased to 21mg/l. The diagnosis of acute appendicitis was evoked and the patient was operated. At laparotomy through McBurney's approach, an appendix measuring 9 cm x 5 cm was discovered. The appendectomy was performed (figure 5). When the appendix was cut, mucus was seen to be flowing. This fact necessitated the resection of the appendicular stump taking away the base of the appendix on the cecum. The postoperative course was simple and the patient was discharged on day 3. The anatomical-pathological examination of the appendicular specimen showed a simple appendicular mucocele without any degenerative focus. Colonoscopy was not performed. The patient was lost to follow-up after the first postoperative consultation at one month postoperatively. 22 Year 2022 Global Journal of Medical Research Volume XXII Issue II Version I ( DD ) I © 2022 Global Journals Treatment and Evolution of Appendicular Mucoceles in Six Cases