Al Laham O, Albrijawy R, Adi A, Al Kurdi MF, Atia F, Hamed H. A rare case of a Low Grade Appendiceal Mucinous Neoplasm in a 46-year-old Middle Eastern female - A case report.
Int J Surg Case Rep 2022;
93:106997. [PMID:
35366611 PMCID:
PMC8976147 DOI:
10.1016/j.ijscr.2022.106997]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2022] [Revised: 03/26/2022] [Accepted: 03/26/2022] [Indexed: 12/01/2022] Open
Abstract
Introduction and importance
Mucinous cell neoplasia are rare and conceivably fatal causes of surgical abdomen. Adult manifestations can be obscure and ill-defined, yielding misdiagnoses and wasting precious time and effort to reach the correct one. Clinical awareness ought to be present once presented with a surgical abdomen in such a patient because this neoplasm may present with misleading presentations which mask the actual diagnosis and masquerade as a different one, and in turn, may result in performing a dissimilar treatment intervention. Rapid learnt surgical judgments must be taken and put into action to diminish the morbidity and mortality consequential to this pathology.
Case presentation
Our case is of a 46-year-old female, who was admitted into our hospital with a 2-month-history of general fatigue. Colicky abdominal pain and discomfort developed shortly prior to admission. Multi-Slice Computed Tomography (MSCT) scan exposed cystic formation in the terminal ileum. Exploratory laparotomy was warranted, in addition to performing a right hemicolectomy.
Clinical discussion
We treated our patient via open surgery and performing an appendectomy with right hemicolectomy in addition to the excision of several surrounding lymph nodes. Diagnosis is traditionally reached intraoperatively relying on gross morphology and postoperatively through histopathological analysis of the excised specimens.
Conclusion
Low Grade Appendiceal Mucinous Neoplasm is a scarce entity and varies critically in its manifestations, hence, it is existential to thoroughly study this kind of neoplasia, document it, and consider it, so that we can construct precise decisions to reach ideal results for patients who suffer from this neoplasm.
Appendiceal primary tumors have an incidence rate of less than 2% of all excised samples of the appendix.
Mucinous cell tumors of the appendix are ubiquitous in merely 0.2%–0.3% of all the excised samples of the appendix.
Symptoms are ill-defined. This warrants high clinical suspicion when presented with a case of surgical abdomen.
Surgery is the chief treatment method. Open surgery is favored over laparoscopic in appendiceal mucinous cell neoplasm.
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