Journal of Gastrointestinal Surgery

, Volume 17, Issue 3, pp 609–610

Appendicitis and Benign Appendiceal Mucocele Presenting as Large Bowel Obstruction

  • Razvan C. Opreanu
  • Justin Sobinsky
  • Marc D. Basson
GI Image



Appendiceal mucocele is most commonly encountered incidentally during appendectomy.


We report a case of large bowel obstruction presenting as a closed loop with an appendiceal mucocele as the lead point, superimposed on a chronic ileal stricture that had been misdiagnosed as irritable bowel syndrome.


The patient underwent ileocecal resection and primary anastomosis. She did well postoperatively, and her irritable bowel syndrome disappeared.


Appendiceal mucocele can present in a variety of ways, and surgeons should be alert for atypical presentations. Moreover, some patients with intermittent abdominal pain deserve anatomic investigation before being dismissed as having irritable bowel.


Appendiceal mucocele Large bowel obstruction Ileal stricture 


  1. 1.
    Stocchi, L., et al., Surgical treatment of appendiceal mucocele. Arch Surg, 2003. 138(6): p. 585–9; discussion 589–90.PubMedCrossRefGoogle Scholar
  2. 2.
    Kim, S.H., et al., Mucocele of the appendix: ultrasonographic and CT findings. Abdom Imaging, 1998. 23(3): p. 292–6.PubMedCrossRefGoogle Scholar

Copyright information

© The Society for Surgery of the Alimentary Tract 2012

Authors and Affiliations

  • Razvan C. Opreanu
    • 1
  • Justin Sobinsky
    • 1
  • Marc D. Basson
    • 1
  1. 1.Department of Surgery, College of Human MedicineMichigan State UniversityLansingUSA

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