Appendix mucocele

Case contributed by Dr Hein Els

Presentation

Had recent vaginal hysterectomy. Gelatinous ascites drained during surgery.

Patient Data

Age: 45
Gender: Female
Ultrasound

Dilated fluid filled appendix in the right lower quadrant. The wall is thin and contains a focus of hyperechogenicity with twinkle artifact. Surrounding fat is normal. No peri-appendiceal fluid or collection.

CT

Dilated fluid filled appendix with a thin wall and small mural calcification. The surrounding fat is normal. Small volume of hypodense ascites. 

Case Discussion

Dilated fluid filled appendix with a mural calcification and the history of gelatinous ascites highly suggestive of an appendix mucocele

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Case information

rID: 41222
Published: 11th Mar 2018
Last edited: 11th Mar 2018
Inclusion in quiz mode: Included

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