appendiceal mucocele presenting as a right adnexal mass a case report阑尾粘液囊肿表现为对附件的质量报告.pdfVIP

Hindawi Publishing Corporation Obstetrics and Gynecology International Volume 2010, Article ID 281053, 3 pages doi:10.1155/2010/281053 Case Report Appendiceal Mucocele Presenting as a Right Adnexal Mass: A Case Report Grigor Gortchev,1 Slavcho Tomov,1 Dobromir Dimitrov,2 Vasil Nanev,2 and Tatyana Betova3 1 Gynecologic Oncology Clinic, Medical University, Pleven, Bulgaria 2 Surgical Oncology Clinic, Medical University, Kliment Ohridski Street, 5800 Pleven, Bulgaria 3 Department of General and Clinical Pathology, Medical University, Pleven, Bulgaria Correspondence should be addressed to Dobromir Dimitrov, dobri dimitrov@abv.bg Received 9 June 2010; Accepted 24 August 2010 Academic Editor: J. R. Van Nagell Copyright © 2010 Grigor Gortchev et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. A 68-year-old female presented to the Gynecologic Oncology Clinic with a right-lower quadrant abdominal mass 3 × 4 cm in diameter palpable on pelvic examination. Her routine laboratory tests were normal. Transvaginal ultrasonography revealed a cystic mass in the right adnexa 3.9 cm in diameter, which was thought to arise in the ovary. At the time of laparoscopy, a 3 × 4 cm tumor arising from the distal end of the appendix was noted. A laparoscopic appendectomy with tumor removal was performed. Histologic examination of the surgical specimen revealed a mucocele of the appendix (AM). Although rare, this tumor should be considered in the differential diagnosis of a right adnexal mass. These tumors can be identified laparoscopically and removed by minimally invasive surgery. 1. Introduction