Malakoplakia of the appendix as a rare differential diagnosis of mucocele: a case report

Almoguera González, Francisco José; Muñoz Casares, Cristóbal; González de Pedro, Carlos; Galán Villamor, Lourdes; Padillo Ruiz, Francisco Javier

doi:10.1016/j.cireng.2023.09.001

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A propósito de un caso" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1647 "Ancho" => 1675 "Tamanyo" => 215922 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] ] ] "textoCompleto" => "A 59-year-old male came to the Emergency Department after 24 h of generalized abdominal pain in the right iliac fossa. He reported no gastrointestinal disturbances and fever of 37.5°C. Lab work showed CRP 125 mg/L. Urgent contrast-enhanced CT scan of the abdomen revealed a microperforated mucocele of the appendix with fluid around the appendix and in the right paracolic gutter (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).<elsevierMultimedia ident="fig0005"></elsevierMultimedia>The case was discussed with the Tumor Committee, which decided on surgery with radical intent.Surgical intervention: a large, calcified (porcelain) appendiceal neoplasm was observed with retrocecal extension, closely adhered to the right parietal peritoneum (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). We performed right hemicolectomy + paracolic and right pelvic peritonectomy + omentectomy.<elsevierMultimedia ident="fig0010"></elsevierMultimedia>The pathology results reported an appendix compatible with malakoplakia. Lymph nodes were negative." 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