Mucocele appendicolare gigante. Caso clinico
2005
Appendiceal mucocele is an uncommon disorder caused by accumulation of mucus within the appendiceal lumen. Mucoceles represent a heterogeneous group comprising various histopathologic lesions including mucosal hyperplasia, cystoadenomas, and cystoadenocarcinomas and prognosis is related to these subtypes.
The most common symptom is pain or a palpable mass in the right lower quadrant on physical examination. The preoperative diagnosis is performed with abdominal US and confirmed with CT scan; typical CT scan image is a capsulated cystic mass with calcification of the wall while US pattern shows cystic lesion with the onion skin sign considered a specific sonographic marker for appendiceal mucocele.
In conclusion a cystic mass sonographically detected with onion skin sign, in the presence of normal female reproductive organs, suggest the diagnosis of appendiceal mucocele.
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