Abstract
Case Report: One case of appendiceal mucocele (AM) with a large implantation base into the cecum was accurately preoperatively diagnosed by abdomino-pelvic ultrasonography, computed tomography, and colonoscopy. Laparoscopic approach of AM was anticipated for diagnosis confirmation and resection. Due to a large appendiceal base of AM and close proximity of the ileocecal valve to the edge of the mass, visualized by intraoperative ultrasound, the patient was submitted to ileocecal resection. A 6-cm minilaparotomy was used for extraction of the specimen and performance of an extracorporeal ileocolic hand sewn anastomosis. Malignancy was ruled out on frozen sections of the operative specimen. The postoperative patient’s evolution was simple, with rapid recovery and short hospitalization. After more than 5 years of follow-up patient remained asymptomatic and disease-free with no malignancy detected.
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