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

late postprandial vomiting associated with altered general condition evolving around 05 months. He had no abdominal pain, cessation of matter and gas, hematemesis, melena, and rectorrhagia. The patient had anorexia, reported asthenia and weight loss with an estimated weight loss of 2% of the body weight (Formal weight: 87 kg Current weight 83kg). The conjunctiva were slightly colored, the blood pressure was 130/90 mmHg, the pulse was 80 beats/min and the respiratory rate was 20cycles/min. There was an abdominal tumefaction from the right para-umbilical region to the right flank. The mass was round, painless, firm, mobile and dull on percussion. On digital rectal examination the prostate appeared to be enlarged, and the fingernail brought back soft stools. The diagnosis of cystic tumor of the mesentery was evoked. Due to post prandial vomiting, an oesogastroduodenal fibroscopy was performed and revealed an erythematous fundic gastropaphy. Abdominopelvic CT scan showed a homogeneous liquid mass in favor of a mesenteric cyst corresponding to a giant cystic lymphangioma (Figures 6 and 7). Biologically, the hemoglobin level was 8.7 g/dL, the white blood cell count was 4600 and the platelets were 189000. Blood glucose was normal, as well as creatinine and prothrombin level (92%). Regarding tumor markers, CEA was 8ng/ and CA19-9 was 53 IU/ml. The patient was transfused and then operated on. Intraoperatively it was a large, firm, pearly white mass measuring 14 cm x 7 cm, located at the ileocaecal junction at the junction of the three caecal bands (Figure 8). The appendix was not seen. There was no adenopathy, no ascites. Palpation of the colonic frame did not reveal any tumor. We performed the removal of the mass (figure 9). The postoperative course was simple and the patient was discharged at D7 postoperatively. On anatomopathological examination it was an appendicular mucocele. At 6 months post-op, the patient underwent a colonoscopy which was normal as were the tumor marker assays (CEA was 4.5ng/ml and CA19-9 was 17 IU/ml). Contacted by telephone in July 2021, the patient was doing well, and claimed to have regained his appetite and weight. Figure 6: CT scan section showing the cystic mass with wall enhancement (thin arrow). Note the cyst on the lower pole of the right kidney (thick arrow). 24 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