Korean J Gastrointest Endosc > Volume 30(5); 2005 > Article
Korean Journal of Gastrointestinal Endoscopy 2005;30(5): 243-248.
대장내시경 소견을 중심으로 고찰한 충수돌기 점액낭종
백봉력*·김애란·이재호·이상봉·김 희·박성재·지삼룡·박은택·이연재·이상혁·설상영·정정명·정수진
*울산병원 내과, 인제대학교 의과대학 부산백병원 내과학교실, 병리학교실
The Analysis of Appendiceal Mucocele with Emphasis on the Colonoscopic Findings
Bong Luck Paik, M.D.*, Ae Ran Kim, M.D., Jae Ho Lee, M.D., Sang Bong Lee, M.D., Hee Kim, M.D., Sung Jae Park, M.D., Sam Ryong Ji, M.D., Eun Tack Park, M.D., Youn Jae Lee, M.D., Sang Hyuk Lee, M.D., Sang Young Seol, M.D., Jung Myung Chung, M.D. and Soo Jin
*Department of Internal Medicine, Ulsan Hospital, Ulsan, Departments of Internal Medicine and

Pathology, Inje University College of Medicine, Busan, Korea

Abstract

Background/Aims:
Appendiceal mucocele is relatively rare disease, however early diagnosis and adequate treatment is important because the rupture of mucocele during operation may results in pseudomyxoma peritonei which is fatal. Colonoscopy is very important tool to diagnose the mucocele of appendix earlier period.
Methods:
We retrospectively analysed the medical records of ten cases of appendiceal mucoceles which were suspected by colonoscopy and surgically confirmed from January 1997 to March 2004.
Results:
There was no gender difference and mean age was 55 years old. The colonoscopic findings of appendiceal mucocele were a type of submucosal tumor and the orifice of appendix was not seen in all the cases. The size was variable from 2.5 cm to 5.0 cm and the shape was spherical in majority, but one case of appendiceal mucocele lately diagnosed as mucinous cystadenocarcinoma had elongated, oval shape. The histologic diagnosis after resection were as follows: mucosal hyperplasia 4 cases (40%), mucinous cystadenoma 5 cases (50%) and mucinous cystadenocarcinoma 1 case (10%).
Conclusions:
Colonoscopy is an important diagnostic tool for suspecting appendiceal mucocele. It is important to confirm by surgical resection of appendiceal mucocele which is found even incidentally by colonoscopy. (Korean J Gastrointest Endosc 2005;30:243⁣248)
Key Words: Appendiceal mucocele, Colonoscopy
주요어: 충수돌기 점액낭종, 대장내시경검사
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