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  • Title: Appendicitis and benign appendiceal mucocele presenting as large bowel obstruction.
    Author: Opreanu RC, Sobinsky J, Basson MD.
    Journal: J Gastrointest Surg; 2013 Mar; 17(3):609-10. PubMed ID: 23099734.
    Abstract:
    INTRODUCTION: Appendiceal mucocele is most commonly encountered incidentally during appendectomy. METHODS: We report a case of large bowel obstruction presenting as a closed loop with an appendiceal mucocele as the lead point, superimposed on a chronic ileal stricture that had been misdiagnosed as irritable bowel syndrome. RESULTS: The patient underwent ileocecal resection and primary anastomosis. She did well postoperatively, and her irritable bowel syndrome disappeared. CONCLUSIONS: Appendiceal mucocele can present in a variety of ways, and surgeons should be alert for atypical presentations. Moreover, some patients with intermittent abdominal pain deserve anatomic investigation before being dismissed as having irritable bowel.
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