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Actas Urológicas Españolas

Print version ISSN 0210-4806


PEREZ FENTES, Daniel A. et al. Appendiceal mucocele misdiagnosed with infected urachal cyst: a differential diagnosis to keep in mind. Actas Urol Esp [online]. 2009, vol.33, n.2, pp.205-208. ISSN 0210-4806.

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.

Keywords : Mucocele; Urachus; Diagnosis.

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