Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2014;5(12):1265-7.
doi: 10.1016/j.ijscr.2014.11.050. Epub 2014 Nov 21.

Large mucinous neoplasm of the appendix mimicking adnexal mass in a postmenopausal woman

Levent Akman  1 , Behiye Seda Hursitoglu  2 , İsmet Hortu  2 , Taylan Sezer  3 , Kemal Oztekin  2 , Basak Dogan Avsargil  4
Affiliations

Large mucinous neoplasm of the appendix mimicking adnexal mass in a postmenopausal woman

Levent Akman et al. Int J Surg Case Rep. 2014.

Abstract

Introduction: Appendiceal tumors are rare, late-diagnosed neoplasms that may not be differentiated from adnexal masses even by advanced imaging methods and other diagnostic procedures. They may be asymptomatic and remain undiagnosed until surgery.

Presentation of case: We report a case of 81-year-old postmenopausal woman presented with abdominal pain. A magnetic resonance imaging revealed right adnexal mass. Laparotomy was performed and detected a 12cm×9cm mucinous tumoral mass arising in the appendix. An appendectomy and a right hemicolectomy with ileo-transverse anastomosis were performed. Histopathological examination was revealed appendiceal mucinous neoplasm with low malignancy potential.

Discussion: Gastrointestinal tumors such as appendiceal tumors can mimicking adnexal mass. Therefore, appendiceal tumor kept in mind in a patient with diagnosed adnexal mass, especially patient had non-specific clinical symptoms, laboratory and radiologic findings.

Conclusion: Gastrointestinal tumors such as appendiceal tumors kept in mind in a patient with diagnosed adnexal mass.

Keywords: Adnexal mass; Appendiceal neoplasm; Diagnosis.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Appearance of the cystic mass on abdominal MRI.
Fig. 2
Fig. 2
Mucinous neoplasm growing out of the appendix (intraoperatively).
Fig. 3
Fig. 3
(a) Acellular mucinous collections in the appendix wall (H&E, 20×). (b) Calcification within the acellular mucin collection and the appendix wall (H&E, 40×).
See this image and copyright information in PMC

References

    1. Marudanayagam R., Williams G.T., Rees B.I. Review of the pathological results of 2,660 appendicectomy specimens. J Gastroenterol. 2006;41:745–749. - PubMed
    1. Lau H., Yuen W.K., Loong F., Lee F. Laparoscopic resection of an appendiceal mucocele. Surg Laparosc Endosc Percutan Tech. 2002;12:367–370. - PubMed
    1. Trollope M.L., Lindenauer S.M. Diverticulosis of the appendix: a collective review. Dis Col Rect. 1974;17:200–218. - PubMed
    1. Navarra G., Asopa V., Basaglia E., Jones M., Jiao L.R., Habib N.A. Mucous cystadenoma of the appendix: is it safe to remove it by a laparoscopic approach? Surg Endosc. 2003;17:833–834. - PubMed
    1. Bradley R.F., Stewart J.H., Russell G.B., Levine E.A., Geisinger K.R. Pseudomyxoma peritonei of appendiceal origin: a clinicopathologic analysis of 101 patients uniformly treated at a single institution, with literature review. Am J Surg Pathol. 2006;30:551–559. - PubMed