2011 Volume 36 Issue 4 Pages 665-669
Surgical approaches for an appendiceal mucocele remain controversial, since caution needs to be exercised during surgery to avoid inadvertent rupture of the lesion, which may cause pseudomyxoma peritonei if the lesion is neoplastic. We report a case of mucinous cystadenoma of the vermiform appendix treated successfully by single–incision laparoscopic surgery (SILS). A 71–year–old woman was admitted for the treatment of a cystic mass in the right iliac fossa. Abdominal computed tomography revealed a well–encapsulated cystic mass measuring 30 mm in diameter, adjacent to the cecum. SILS ileocecal resection with lateral–to–medial mobilization and extracorporeal anastomosis was performed via a 3.5–cm–long transumbilical incision. The operative time was 145 minutes and the blood loss was about 10 mL. There were no intra– or postoperative complications. The histological diagnosis was mucinous cystadenoma. SILS seems to be a useful option for minimally invasive treatment of appendiceal mucocele, however, as mentioned above, care is needed to prevent complications.
