A case report of complicated appendicular hydatid cyst mimicking an appendiceal mucocele

Retaining the etiology of a cystic lesion in the right iliac fossa can be difficult. Appendicular hydatid cyst is a very uncommon cause of a such lesion. In some cases, diagnosis is not obvious. It can radiologically mimic an appendix mucocele, a complicated ovarian cyst, an appendicular lymphangiom...

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Bibliographic Details
Published in:Clinical journal of gastroenterology 2019-12, Vol.12 (6), p.574-577
Main Authors: Chaouch, Mohamed Ali, Dougaz, Mohamed Wejih, Khalfallah, Mehdi, Jerraya, Hichem, Nouira, Ramzi, Bouasker, Ibtissem, Dziri, Chadli
Format: Article
Language:English
Subjects:
Abdominal Pain - etiology
Abdominal Surgery
Aged
Appendix
Case Report
Cecal Diseases - diagnosis
Colorectal Surgery
Diagnosis, Differential
Echinococcosis - diagnosis
Female
Gastroenterology
Hepatology
Humans
Medicine
Medicine & Public Health
Mucocele - diagnosis
Surgical Oncology
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Summary:Retaining the etiology of a cystic lesion in the right iliac fossa can be difficult. Appendicular hydatid cyst is a very uncommon cause of a such lesion. In some cases, diagnosis is not obvious. It can radiologically mimic an appendix mucocele, a complicated ovarian cyst, an appendicular lymphangioma or an abscess. Our case highlights the difficulties encountered in this kind of situation and despite the contribution of imaging. We present a case of a 75 years-old woman presented with a right lower quadrant continuous pain. Abdominal CT-scan revealed a multilocular cystic and hydro-aeric mass. The diagnosis of an appendiceal mucocele complicated with gelatinous peritonitis was suspected. An open debulking surgery with right hemicolectomy was performed. The pathological exam has concluded to an infected appendicular hydatid cyst with thick calcified walls. The aim of this work is to report a case of an appendicular hydatid cyst that has imitated an appendicular mucocele to discuss the importance of differential diagnostic reflections and the appropriate treatment.
ISSN:1865-7257
1865-7265
DOI:10.1007/s12328-019-00981-z