Appendiceal mucocele mimicking a cystic right adnexal mass.
OBJECTIVE
Appendiceal mucocele is formed by cystic dilatation, abnormal mucinous secretion and epithelial proliferation of the appendiceal lumen. Mucocele may be a finding in cases of benign or malignant neoplasms, and can lead to the development of pseudomyxoma peritonei.


METHODS
A 71-year-old woman presented with a 3-day history of right lower abdominal pain radiating to her right thigh. A simple 5 x 7 cm cyst with smooth borders and a thick capsule was detected in the right adnexal area by transvaginal ultrasonography. Magnetic resonance imaging identified a 4 x 8 cm cystic lesion in the area of the right ovary. The patient was admitted to our clinic with an initial diagnosis of adnexal cyst, later found to be appendiceal mucocele.


CONCLUSIONS
The signs and symptoms of appendiceal mucocele are not specific. Because of its anatomic position, it should be considered in the differential diagnosis of adnexal masses.
Balci
Osman
O
Department of Obstetrics and Gynecology Meram Medicine Faculty, Selcuk University, Konya, Turkey. drobalci@yahoo.com
Ozdemir
Suna
S
Mahmoud
Alaa S
AS
D015746:Abdominal Pain / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D000290:Adnexa Uteri / Q000000981:diagnostic imaging*; D000368:Aged; D001065:Appendix / Q000000981:diagnostic imaging* / Q000473:pathology* / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007813:Laparotomy; D008279:Magnetic Resonance Imaging; D009078:Mucocele / Q000000981:diagnostic imaging* / Q000473:pathology* / Q000601:surgery; D014463:Ultrasonography