%0 Journal Article
%T Mucocele apendicular confundido con quiste de uraco infectado: un diagn¨®stico diferencial a tener en cuenta
%A P¨¦rez Fentes
%A Daniel A.
%A Cortegoso Gonz¨¢lez
%A Melissa
%A Pu£¿al Pereira
%A Ana
%A Cimadevila Garc¨ªa
%A Antonio
%A Nov¨¢s Castro
%A Seraf¨ªn
%A Blanco Parra
%A Miguel
%J Actas Urol¨®gicas Espa£¿olas
%D 2009
%I Scientific Electronic Library Online
%R 10.4321/S0210-48062009000200019
%X objective: to report one case of appendiceal mucocele misdiagnosed with an infected urachal cyst and to review their differential diagnosis, treatment and prognosis. patient: we report the case of a 74 year-old-male with abdominal pain, fever and dysuria. hypogastric abscess image in ultrasonography and ct. percutaneous drainage and antibiotic therapy. opaque enema, colonoscopy and cystoscopy were normal. results: exploratory laparotomy and resection of a large cecum-fixed mass, independent to the bladder. appendectomy and cecectomy. pathology showed an appendiceal mucinous cystoadenoma (mucocele). conclusions: appendiceal mucoceles and urachal cysts are uncommon, mostly asymptomatic. cystoadenoma or cystoadenocarcinoma mucoceles are large and can reach the midline, confounding with urachal cysts. diagnosis by ultrasonography and/or ct. surgical treatment in both, keeping the mucocele intact during operation to avoid the risk of pseudomyxoma peritonei.
%K mucocele
%K urachus
%K diagnosis.
%U http://scielo.isciii.es/scielo.php?script=sci_abstract&pid=S0210-48062009000200019&lng=en&nrm=iso&tlng=en