[Unusual retrovesical cystic lesion: appendiceal mucocele].
OBJECTIVE
Retrovesical cystic lesions are uncommon, although its incidence is growing due to the use of current diagnostic techniques. Its clinical features are unspecific and can mimic other conditions of the lower urinary tract making the differential diagnosis of this disease entity is difficult. A case of appendiceal mucocele, an unusual retrovesical lesion, is presented.


RESULTS
A 9 x 14 cm right retrovesical cystic lesion suggestive of a seminal vesicle cyst was detected in a 57-year-old patient with polyalkyuria. The patient was symptomatic, therefore surgical exploration was performed and the lesion was resected. The histological analysis of the surgical specimen demonstrated an appendiceal mucocele with no signs of atypia. The literature is reviewed, with special reference to the diagnostic and therapeutic aspects of this lesion.


CONCLUSIONS
We underscore the need to utilize the diagnostic armamentarium (transrectal US, CT, MRI, deferens vesiculography, urethrocystoscopy, colonoscopy, opaque enema, IVP, etc.) to identify retrovesical cystic lesions. Preoperative diagnosis is necessary in appendiceal mucocele to avoid rupture during the surgical procedure and prevent peritoneal pseudomyxoma. Occasionally, however, the definitive diagnosis of these retrovesical lesions can be made only by punction biopsy or surgical exploration.
Pereira Arias
José Gregorio
JG
Servicio de Urología, Hospital de San Eloy, Vizcaya, España.
Ibarluzea González
José Gaspar
JG
Gutiérrez Díez
José María
JM
Murueta-Goyena Mendizabal
Jaime
J
Alvarez Martínez
José Antonio
JA
D001062:Appendectomy; D001065:Appendix; D002429:Cecal Diseases / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008875:Middle Aged; D009078:Mucocele / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D011470:Prostatic Hyperplasia / Q000150:complications