PMC5425843_01
Initial CT colonogram showing a well-circumscribed ovoid soft tissue mass in the small bowel mesentery.
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Considering his age, he had a CT colonogram, which had shown a well-circumscribed ovoid soft tissue mass in the small bowel mesentery at the ileocaecal junction (Figure 1).
Follow-up CT abdomen pelvis showing a dilated tubular structure arising from the medial aspect of the caecum with unchanged features suggestive of a benign appendicular mucocele and no other intra-abdominal pathology.
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The suspicion of an appendicular mucocele (Figure 2) was raised.
CT abdomen pelvis on admission showed a change in the morphology of the tubular cystic structure which was now vertical to transvers axis orientated with thickened walls and fat stranding suggestive of torsion or inflammation of the mucocele.
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