August 2004
Gut;Aug2004, Vol. 53 Issue 8, p1081
Academic Journal
This article presents answer to a quiz related to a case of calcified caecal mass. At laparotomy, fundal cecectomy, including appendectomy, was performed. The peritoneum was normal. The specimen consisted of a 3x4x9 cm cystic appendiceal mass with the appearance of a "chicken drumstick," filled with yellowish gelatinous mucus. Appendiceal mucocele, appendiceal distension with mucus, are present in approximately 0.2-0.3% of appendectomy specimens. Most patients present with appendicitis or palpable mass but asymptomatic neoplasms may be found incidentally. Computed tomographic detection of appendices cystic dialation with curvilinear mural calcification is quite reliable for the preoperative diagnosis.


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