Case Report
Copyright ©2006 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Mar 28, 2006; 12(12): 1975-1977
Published online Mar 28, 2006. doi: 10.3748/wjg.v12.i12.1975
Mucinous cystadenoma of the appendix associated with adenocarcinoma of the sigmoid colon and hepatocellular carcinoma of the liver: Report of a case
Srdjan P Djuranovic, Milan M Spuran, Nada V Kovacevic, Milenko B Ugljesic, Dragutin M Kecmanovic, Marjan T Micev
Srdjan P Djuranovic, Milan M Spuran, Nada V Kovacevic, Milenko B Ugljesic, Dragutin M Kecmanovic, Marjan T Micev, Institute for Digestive Diseases, Clinical Center of Serbia, K. Todorovica St No 6, 11000 Belgrade, Serbia and Montenegro
Correspondence to: Srdjan P Djuranović, MD, PhD, Institute for Digestive Diseases, Clinical Center of Serbia, K.Todorovića St. No 6, 11000 Belgrade, Serbia and Montenegro. gastroendo@beotel.yu
Telephone: + 381-11-3615587 Fax: + 381-11-3615587
Received: May 30, 2005
Revised: June 2, 2005
Accepted: June 8, 2005
Published online: March 28, 2006
Abstract

Mucinous cystadenoma of the appendix is a rare condition and represents one of the three entities with the common name mucocele of the appendix. It is characterized by a cystic dilatation of the lumen with stasis of mucus inside it. Histopathologically mucocele is divided into three groups: focal or diffuse mucosal hyperplasia, mucinous cystadenoma and mucinous cystadenocarcinoma. This condition is often associated with other neoplasia, especially adenocarcinoma of the colon and ovaries. We here describe a 57 year old male patient who presented with abdominal discomfort, constipation, fresh blood in stool and frequent urination. He had a big cystadenoma of the appendix associated with adenocarcinoma of the colon and hepatocellular carcinoma of the liver. The patient underwent right haemicolectomy, sigmoid colon resection and segmental resection of the liver. Now 3 years later he has no evidence of disease relapse. According to this, we stress the need of accurate preoperative diagnosis and intraoperative exploration of the whole abdomen in these patients.

Keywords: Mucocele; Appendiceal cystadenoma; Colon carcinoma; Hepatocellular carcinoma