Treatment and Evolution of Appendicular Mucoceles in Six Casesa

Abstract

The treatment of appendicular mucocele is surgical. The evolution and the prognosis are conditioned by the histological type, the surgical gesture and the peritoneal cyPurpose : To report our experience in the management of appendicular mucoceles Method: Retrospective and descriptive study carried out in the Department of General and Digestive Surgery of the University Hospital of Bouak#xE9;. Results: We recorded six cases of appendicular mucocele. The average age of onset was 53 years. The male sex predominated. Pain in the right iliac fossa was the predominant sign. The average duration of evolution was four months. Appendectomy was performed in four patients and appendectomy with partial excision of the coecum in one patient. Histologically, three patients had a simple mucocele, one had a mucinous cytadenoma and one had a cystadenocarcinoma. In the latter, the indication of a right hemicolectomy was recommended but the patient refused the operation. Morbidity was nil. The average follow-up time was 13 months, after which the patients were lost to follow-up. Conclusion: The treatment of appendicular mucocele is surgical. The evolution and the prognosis are conditioned by the histological type, the surgical gesture and the peritoneal cytology.tology.