Case Report: Appendiceal Mucocele, an Uncommon Answer to Common Symptoms

Andrew Wilson, Thomas L. Perry, Ormond N. Panton

ABSTRACT

A 49-year-old man presented with abdominal pain, fatigue, tachycardia, and anemia three weeks after sphenopalatine artery ligation for massive epistaxis. In light of the recent bleed, this constellation of symptoms was non-specific and therefore difficult to interpret. They were consistent with peptic ulcer disease, a very common diagnosis that can generally be worked up as an outpatient. This resulted in a delay of several months in the diagnosis and treatment of a large appendiceal mucocele, an uncommon and often benign entity involving the accumulation of mucous within the appendix with a potential for malignant spread. Although this might have been an incidental finding, all symptoms have resolved since surgical removal of the growth. This case illustrates the importance of timely diagnosis in patients with vague yet persistent symptoms. An uncommon condition can have potentially serious consequences if missed.

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Wilson A, Perry TL, Panton ON. Case Report: Appendiceal Mucocele, an Uncommon Answer to Common Symptoms. UBCMJ. 2015; 6(2):23-25.