A Case of Acute Appendicitis Associated with an Appendicolith That Was Intraoperatively Diagnosed as Having Mucocele of the Appendix

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  • 糞石を伴う急性虫垂炎保存的加療後に術中診断された虫垂粘液囊腫の1例
  • フンセキ オ トモナウ キュウセイ チュウスイエン ホゾンテキ カリョウ ゴ ニ ジュッチュウ シンダン サレタ チュウスイ ネンエキノウ シュ ノ 1レイ

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<p>A 33–year–old female patient presented to the emergency department complaining of abdominal pain. Abdominal CT revealed a mildly enlarged appendix with an appendicolith, around which fluid retention was observed. The patient was diagnosed as a case of complicated appendicitis. We administered initial antibiotic therapy, followed by interval appendectomy. Laparoscopic observation revealed an appendiceal mucocele that was adherent to the terminal ileum. We performed appendectomy and partial resection of the ileum by reduced–port surgery. Histopathology of the resected specimen confirmed the diagnosis of mucocele of the appendix. The patient remains alive one year after the surgery. We report a rare case of mucocele of the appendix developing after appendicitis associated with an appendicolith.</p>

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