Nonrotation of the midgut with appendiceal mucocele in an adult

Nonrotation of the midgut in adults and appendiceal mucocele are both rare pathological conditions. We report here the first case of nonrotation of the midgut associated with appendiceal mucocele. The patient was a 51-year-old man admitted to hospital with ileus. An upper gastrointestinal series and...

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Veröffentlicht in:Journal of gastroenterology 2001-01, Vol.36 (1), p.44-47
Hauptverfasser: Kawashima, K, Ishihara, S, Amano, K, Hirakawa, K, Adachi, K, Fukuda, R, Sumi, S, Watanabe, M, Kinoshita, Y
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container_end_page 47
container_issue 1
container_start_page 44
container_title Journal of gastroenterology
container_volume 36
creator Kawashima, K
Ishihara, S
Amano, K
Hirakawa, K
Adachi, K
Fukuda, R
Sumi, S
Watanabe, M
Kinoshita, Y
description Nonrotation of the midgut in adults and appendiceal mucocele are both rare pathological conditions. We report here the first case of nonrotation of the midgut associated with appendiceal mucocele. The patient was a 51-year-old man admitted to hospital with ileus. An upper gastrointestinal series and a barium enema revealed nonrotation of the midgut without midgut volvulus and with a mass in the ileocecal area. Laparotomy revealed an appendiceal mucocele adhering to the urinary bladder and the rectum. The mucocele had partly ruptured; yellowish mucinous material had entered the abdominal cavity, resulting in pseudomyxoma peritonei. Histological examination revealed a mucinous tumor of the appendix with borderline malignancy. In this patient, the ileus was caused by the appendiceal mucocele rather than being caused by nonrotation of the midgut.
doi_str_mv 10.1007/s005350170153
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subjects Appendix
Cecal Diseases - complications
Humans
Intestines - abnormalities
Male
Middle Aged
Mucocele - complications
title Nonrotation of the midgut with appendiceal mucocele in an adult
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