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난소기형종으로 오인한 충수돌기점액종

A case of appendiceal mucocele mistaken for ovarian tetaroma

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초록

본 저자들은 초음파검사와 복부 컴퓨터단층촬영검사상 난소기형종으로 생각되어 수술적 치료를 시행하던 중 발견된 충수돌기점액종을경험하였기에 문헌고찰과 함께 보고하는 바이다.

Abstract

Appendiceal mucocele is a rare entity that can present in a variety of ways. The incidence is estimated to be 0.2% to 0.3% of appendectomy specimens. Appendiceal mucocele refers to dilatation of the appendiceal lumen by an abnormal accumulation of mucus. It can be confused radiologically with an ovarian teratoma, which may prove to be a diagnostic challenge. Early diagnosis and prompt treatment is important to avoid unintended rupture and the development of pseudomyxoma peritonei. The diagnosis of mucocele of the appendix as well as other appendiceal neoplasms should be considered by the gynecologist in the differential diagnosis of a right-sided adnexal tumor. We report a case of appendiceal mucocele mistaken for ovarian teratoma in a 59-year-old women.

참고문헌 (6)

  1. Malave C, "Incidental diagnosis of appendiceal mucocele with vaginal ultrasonography and computed tomography", Obstet Gynecol, 117, pp.479~481 (2011)
  2. Rampone B, "Giant appendiceal mucocele: report of a case and brief review", World J Gastroenterol, 11, pp.4761~4763 (2005)
  3. Balci O, "Appendiceal mucocele mimicking a cystic right adnexal mass", Taiwan J Obstet Gynecol, 48, pp.412~414 (2009)
  4. Vavilis D, "Mucocele of the appendix mimicking an adnexal mass: a case report", Clin Exp Obstet Gynecol, 36, pp.135~136 (2009)
  5. Karakaya K, "Appendiceal mucocele: case reports and review of current literature", World J Gastroenterol, 14, pp.2280~2283 (2008)
  6. Ruiz-Tovar J, "Mucocele of the appendix", World J Surg, 31, pp.542~548 (2007)

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