PMC6198545_01
CT scan: appendix mucocele (arrow).
CRIS2018-1780342.001.jpg
PMC6198545_01_CRIS2018-1780342.001.jpg
fig1
AMC (Figure 1). Appendiceal carcinoma or BC metastasis could not be ruled out.
Operative findings: left upper: overview of the right lower quadrant showing appendix mucocele; right upper: the appendix is gently lifted up; left lower: the appendix is stapled just below the base; right lower: the appendix has been stapled, only the mesoappendix is grabbed.
CRIS2018-1780342.002.jpg
PMC6198545_01_CRIS2018-1780342.002.jpg
fig2
AMC was gently lifted up (Figure 2); at no point, the appendix was grasped. A window was created behind the AMC, and the mesoappendix was stapled. The cecal pole was mobilized, and the AMC was stapled off with a 1 cm rim of cecal wall (Figure 2) avoiding stenosis of the terminal ileum.