. 2008; 14(4): 303-307 | |||
Nadir bir akut karın tablosu nedeni: Apendiks müsinöz kistadenomuKenan Calışkan1, Sedat Yıldırım1, Nebil Bal2, Tarık Zafer Nursal1, Aydın Can Akdur1, Gökhan Moray11Başkent Üniversitesi Tıp Fakültesi, Genel Cerrahi Ana Bilim Dalı, Ankara, Türkiye2Başkent Üniversitesi Tıp Fakültesi, Patoloji Ana Bilim Dalı, Ankara, Türkiye AMAÇ: Akut karın bulguları oluşturan, apendiksin müsinöz kistadenomları araştırıldı. Mucinous cystadenoma of the appendix: a rare cause of acute abdomenKenan Calışkan1, Sedat Yıldırım1, Nebil Bal2, Tarık Zafer Nursal1, Aydın Can Akdur1, Gökhan Moray11Department of General Surgery, Baskent University, Ankara, Turkey2Department of Pathology, Baskent University, Ankara, Turkey BACKGROUND: We aimed to assess the acute abdominal conditions due to appendiceal mucinous cystadenomas. METHODS: We retrospectively evaluated 11 patients with histopathologically confirmed appendiceal mucinous cystadenoma. Patient charts and data on patient demographics; clinical features; ultrasonography (US), colonoscopy and computed tomography (CT) findings; pathology reports; and operative and postoperative management were reviewed. RESULTS: The incidence of appendiceal mucinous cystadenoma was 0.95% of all appendectomy specimens reviewed. In our review, there were 11 patients, five of whom were women. The median age was 70 years (50-85 years), and the most common presentation was abdominal pain (81.8%). On US in eight patients, findings were abdominal cystic mass and cyst wall calcification. The CT finding was well-encapsulated cystic mass in eight patients. In one case, a colonic mass was found in colonoscopic examinations. There was one patient with concomitant colon cancer. Appendectomy was performed in nine patients and right hemicolectomy was performed in two patients. CONCLUSION: Colonoscopy, US, and CT are useful tools in diagnosing mucocele and synchronous cancer. However, diagnosis is usually made intraoperatively or postoperatively on histopathological examination. Appendectomy is the standard of care for mucinous cystadenoma. Furthermore, it is important to prevent spillage of the mucocele content. Keywords: Acute abdomen, appendix; mucocele; mucinous cystadenoma.Kenan Calışkan, Sedat Yıldırım, Nebil Bal, Tarık Zafer Nursal, Aydın Can Akdur, Gökhan Moray. Mucinous cystadenoma of the appendix: a rare cause of acute abdomen. . 2008; 14(4): 303-307 Sorumlu Yazar: Kenan Calışkan, Türkiye |
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