<原著>虫垂粘液のう腫の2例

概要

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This communication describes two cases of appendiceal mucocele. Case 1. A 68-year-old male was admitted to the hospital because of a large abdominal mass. Barium enema examination showed upward displacement of the cecum. The tumor mass was avascular on angiography. Echographic scan disclosed a large cystic tumor measuring about 22・22・18 cm. At operation, a large mucocele of the appendix was found. Case 2. A 70-year-old male was admitted to the hospital because of right abdominal pain. Barium enema study revealed a hemispherical smooth filling defect on the cecum. Preoperative diagnosis was mucocele of the appendix with perityphlitic adhesion, which was identified on operation. These two cases did not fully fit the diagnostic roentgen criteria by Euphrat except nonvisualization of the appendix, because of the huge size in case 1 and adhesion in case 2,respectively. Echographic scan may be a useful method for the diagnosis of the disease, though barium enema is most profitable. As the preoperative diagnosis of appendiceal mucocele is important to avoid pseudomyxoma peritonei, likelihood of this disease should be considered in the differential diagnosis of abdominal masses, though it is an uncommon condition.
近畿大学の論文
1977-09-25