Journal of Gastroenterology

, Volume 30, Issue 6, pp 779–782 | Cite as

Mucinous cystadenoma of appendix concomitant with perityphlic granuloma

  • Takafumi Sato
  • Tadashi Ueda
  • Hiroshi Kon
  • Soroku Yagihashi
  • Hitoshi Kotanagi
Case Reports

Abstract

We describe a case of mucinous cystadenoma of the appendix with perityphlic granuloma. The patient developed a hard palpable mass in the right lower quadrant and barium enema inducted irregular bowel wall at the cecum. Based on a preoperative diagnosis of carcinoma of the appendix, we performed a laparotomy. On operation, we found a tumor mass in the region of the appendix; the mass adhered strongly to the retroperitoneum and cecum. Right hemicolectomy was carried out on a diagnosis of carcinoma of the appendix. Microscopic examination revealed mucinous cystadenoma of the appendix with perityphlic granuloma. Mucinous cystadenoma in the appendix is a rare tumor. In this patient, the tumor was accompanied by granuloma formation in adjacent tissues because of mucin expelled from the appendix. This case emphasizes that granuloma formation can make of difficult to differentiate mucinous cystadenoma in the appendix from cancer.

Key words

mucinous cystadenoma appendix perityphlic granuloma 

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Copyright information

© Springer-Verlag 1995

Authors and Affiliations

  • Takafumi Sato
    • 1
  • Tadashi Ueda
    • 1
  • Hiroshi Kon
    • 1
  • Soroku Yagihashi
    • 2
  • Hitoshi Kotanagi
    • 3
  1. 1.Department of SurgeryHokushu Chuo HospitalAkitaJapan
  2. 2.School of Medicine, Department of PathologyHirosaki UniversityAomoriJapan
  3. 3.School of Medicine, Department of SurgeryAkita UniversityAkitaJapan

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