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

Figure 5: Appendectomy specimen. Note the uniformly dilated appearance of the appendix. Observation 5 A 68-year-old patient with known hypertension and G6P6 menopausal disease consulted for right iliac fossa pain that had been present for 3 months. The pain was dull without radiations, there was no weight loss. Clinical examination revealed a firm right iliac fossa mass adherent to the deep plane. Pelvic touch was normal. Ultrasound examination showed a hypoechoic mass of digestive appearance, heterogeneous, independent of the right psoas muscle and the bladder, measuring 169 mm long and 80 mm in diameter, pushing the right adnexa posteriorly. There was no adenopathy and no ascites. Colonoscopy showed a decrease of the colonic lumen, the poor colonic preparation did not allow to affirm the presence of an intra luminal lesion (tumor). Tumor markers were normal. The rest of the biological work-up was also normal (blood glucose, blood count, prothrombin rate). An indication for laparotomy was given for a tumor of the cecum. During the operation, there was no colonic tumor and a large appendicular tumor was discovered. The mass was oblong, elongated and well limited, 17.5 cm in length and 7 cm in diameter, with a healthy base, but with an epiploic call and small intestines. There was no adenopathy, ascites or mucoid effusion in the abdominal cavity. The uterus and adnexa were normal. An appendectomy was performed. The postoperative course was simple and the patient was discharged at 8 days postoperatively. Anatomopathological analysis of the surgical specimen confirmed the diagnosis of appendicular mucocele without malignant cells, of mucinous cystadenoma type. Ultrasound of the abdomen done at 6 months was normal as was colonoscopy done at 12 months. Tumor markers could not be performed. The patient was lost to follow-up after 27 months. Observation 6 A 55-year-old chronically constipated patient was accompanied by his parents in January 2019 for 23 Year 2022 Global Journal of Medical Research Volume XXII Issue II Version I ( D ) I © 2022 Global Journals Treatment and Evolution of Appendicular Mucoceles in Six Cases