Nonrotation of the midgut with appendiceal mucocele in an adult

Citation
K. Kawashima et al., Nonrotation of the midgut with appendiceal mucocele in an adult, J GASTRO, 36(1), 2001, pp. 44-47
Citations number
14
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Gastroenerology and Hepatology
Journal title
JOURNAL OF GASTROENTEROLOGY
ISSN journal
0944-1174 → ACNP
Volume
36
Issue
1
Year of publication
2001
Pages
44 - 47
Database
ISI
SICI code
0944-1174(200101)36:1<44:NOTMWA>2.0.ZU;2-B
Abstract
Nonrotation of the midgut in adults and appendiceal mucocele are both rare pathological conditions. We report here the first case of nonrotation of th e midgut associated with appendiceal mucocele. The patient was a 51-year-ol d man admitted to hospital with ileus. An upper gastrointestinal series and a barium enema revealed nonrotation of the midgut without midgut volvulus and with a mass in the ileocecal area. Laparotomy revealed an appendiceal m ucocele adhering to the urinary bladder and the rectum. The mucocele had pa rtly ruptured; yellowish mucinous material had entered the abdominal cavity , resulting in pseudomyxoma peritonei. Histological examination revealed a mucinous tumor of the appendix with borderline malignancy. In this patient, the ileus was caused by the appendiceal mucocele rather than being caused by nonrotation of the midgut.