Large Asymptomatic Mucocele of the Appendix – An Incidental Finding

Abstract

Mucocele of the appendix is a rare condition. It is characterized by an abnormal dilatation of gland due to accumulation of large quantity of mucus. It may be caused by epithelial proliferation of appendix which a be either benign or malignant. It is often incidentally found on routine appendicectomy specimen or radiological studies done for some other abdominal ailments. However, a correct pre-operative diagnosis and selection of appropriate surgery ranging from simple appendicectomy to right hemicolectomy depending on the size, location and lymph node status is crucial. We present here a case of a young female patient who came for annual routine health checkup and was incidentally diagnosed with mucocele of appendix. Presence of mucocele was confirmed on CT scan and the patient underwent surgery with histopathological examination confirming the simple mucocele of appendix. She recovered well and the postoperative follow-up period was uneventful. This case report aims to highlight the importance of routine annual health check-up and timely diagnosis of conditions like mucocele of appendix.