Mechanical intestinal obstruction secondary to appendiceal mucinous cystadenoma: A case report and brief review.
BACKGROUND
Appendiceal mucinous cystadenoma can present in various ways, and it is most commonly encountered incidentally during appendectomy, but mechanical intestinal obstruction secondary to an appendiceal mucocele has been rarely reported.


METHODS
We report a case of mechanical intestinal obstruction secondary to appendiceal mucinous cystadenoma. After nasogastric decompression and initial aggressive intravenous fluid resuscitation, an emergency operation was performed under the diagnosis of acute mechanical intestinal obstruction.


RESULTS
We performed an appendectomy and intraoperative enteral decompression without anastomoses. The pathologic examination (PE) revealed appendiceal mucinous cystadenoma. After the operation, the patient's recovery went smoothly, and the patient was discharged on the fifth postoperative day. No tumor recurrence was recorded over an 8 month follow-up period.


CONCLUSIONS
Early operative intervention should be recommended to the patient with acute mechanical complete intestinal obstruction, especially the patient who had no previous abdominal surgery. And it is vital to discriminate benign and malignantappendiceal mucocel in determining the extent of surgery.
Department of General Surgery, The Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China.
Zheng-Shui
ZS
Xu
Wei
W
Xu
Jia-Qi
JQ
Ying
Hua
H
Cheng
D000368:Aged; D001062:Appendectomy; D001063:Appendiceal Neoplasms / Q000150:complications* / Q000601:surgery; D018291:Cystadenoma, Mucinous / Q000150:complications* / Q000601:surgery; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology* / Q000601:surgery; D008297:Male