- Louis-Michel Wong Kee Song, MD, FRCP(C)
Louis-Michel Wong Kee Song, MD, FRCP(C)
- Associate Professor of Medicine
- Mayo Clinic College of Medicine
- Norman E Marcon, MD, FRCP(C)
Norman E Marcon, MD, FRCP(C)
- Professor of Medicine
- University of Toronto
Appendiceal mucoceles are rare and are characterized by a distended, mucus-filled appendix. The course and prognosis of appendiceal mucoceles relate to their histologic subtypes.
This topic will review the epidemiology, clinical manifestations, diagnosis, and management of appendiceal mucoceles. Other causes of ileocecal lesions, including tuberculosis, typhlitis, actinomycosis, carcinoid, and lesions due to nonsteroidal anti-inflammatory drugs (NSAIDs), are discussed separately. (See "Tuberculous enteritis" and "Neutropenic enterocolitis (typhlitis)" and "Abdominal actinomycosis" and "Clinical characteristics of carcinoid tumors" and "NSAIDs: Adverse effects on the distal small bowel and colon".)
DEFINITION AND HISTOLOGIC SUBTYPES
An appendiceal mucocele refers to any lesion that is characterized by a distended, mucus-filled appendix. Mucoceles may be due to non-neoplastic or neoplastic lesions.
Appendiceal mucoceles can be classified into the following histologic subtypes:
●Mucosal hyperplasia is histologically similar to a hyperplastic colon polyp.
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- DEFINITION AND HISTOLOGIC SUBTYPES
- CLINICAL MANIFESTATIONS
- Clinical features
- Laboratory findings
- Diagnostic evaluation
- DIFFERENTIAL DIAGNOSIS
- - Exclusion of a concurrent malignancy
- Post-treatment surveillance
- SUMMARY AND RECOMMENDATIONS