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Mucineus cystadenoma of the appendix presenting as a hydrosalpinx: a pitfall in gynaecological medical imaging

(2009) GYNECOLOGICAL SURGERY. 6(1). p.61-65
Author
Organization
Abstract
Mucinous cystadenomas of the appendix represent a very small proportion of the appendiceal pathology, yet, they can lead to a life-threatening condition, such as pseudomyxoma peritonei (PMP), if the diagnosis is delayed. Due to the tubular shape and the proximity of the right adnex, the misdiagnosis of a hydrosalpinx, a condition much more common in women and not requiring an immediate intervention, could be made. We describe a case of a 19-year-old girl presenting with symptoms of acute low abdominal pain. According to the medical imaging (ultrasound and magnetic resonance), a torsion of known chronic hydrosalpinx was suspected and an urgent laparoscopy was performed revealing, surprisingly, an enlarged appendix. Laparoscopic appendectomy was performed without difficulty. The pathology report identified a mucinous cystadenoma. Despite the recent evolution of medical imaging techniques, a misdiagnosis of the nature of a pelvic mass is still possible, leading, occasionally, to the delay of an appropriate treatment. In any case of doubt, a diagnostic laparoscopy should be performed as a golden standard in the diagnosis and management of pelvic adnexal masses in women.
Keywords
Pelvic mass, Hydrosalpinx, Pseudomyxomatosis peritonei, Ovarian mass, Ovarian cyst, Medical imaging, Pelvic ultrasound, Appendiceal pathology, Mucinous cystadenoma, Appendiceal tumour, Mucinous neoplasm of the appendix, Appendix

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Citation

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MLA
Galajdova, Lenka, Geert Braems, Kathleen Lambein, et al. “Mucineus Cystadenoma of the Appendix Presenting as a Hydrosalpinx: a Pitfall in Gynaecological Medical Imaging.” GYNECOLOGICAL SURGERY 6.1 (2009): 61–65. Print.
APA
Galajdova, L., Braems, G., Lambein, K., Ceelen, W., & Van den Broecke, R. (2009). Mucineus cystadenoma of the appendix presenting as a hydrosalpinx: a pitfall in gynaecological medical imaging. GYNECOLOGICAL SURGERY, 6(1), 61–65.
Chicago author-date
Galajdova, Lenka, Geert Braems, Kathleen Lambein, Wim Ceelen, and Rudy Van den Broecke. 2009. “Mucineus Cystadenoma of the Appendix Presenting as a Hydrosalpinx: a Pitfall in Gynaecological Medical Imaging.” Gynecological Surgery 6 (1): 61–65.
Chicago author-date (all authors)
Galajdova, Lenka, Geert Braems, Kathleen Lambein, Wim Ceelen, and Rudy Van den Broecke. 2009. “Mucineus Cystadenoma of the Appendix Presenting as a Hydrosalpinx: a Pitfall in Gynaecological Medical Imaging.” Gynecological Surgery 6 (1): 61–65.
Vancouver
1.
Galajdova L, Braems G, Lambein K, Ceelen W, Van den Broecke R. Mucineus cystadenoma of the appendix presenting as a hydrosalpinx: a pitfall in gynaecological medical imaging. GYNECOLOGICAL SURGERY. 2009;6(1):61–5.
IEEE
[1]
L. Galajdova, G. Braems, K. Lambein, W. Ceelen, and R. Van den Broecke, “Mucineus cystadenoma of the appendix presenting as a hydrosalpinx: a pitfall in gynaecological medical imaging,” GYNECOLOGICAL SURGERY, vol. 6, no. 1, pp. 61–65, 2009.
@article{1851054,
  abstract     = {Mucinous cystadenomas of the appendix represent a very small proportion of the appendiceal pathology, yet, they can lead to a life-threatening condition, such as pseudomyxoma peritonei (PMP), if the diagnosis is delayed. Due to the tubular shape and the proximity of the right adnex, the misdiagnosis of a hydrosalpinx, a condition much more common in women and not requiring an immediate intervention, could be made. We describe a case of a 19-year-old girl presenting with symptoms of acute low abdominal pain. According to the medical imaging (ultrasound and magnetic resonance), a torsion of known chronic hydrosalpinx was suspected and an urgent laparoscopy was performed revealing, surprisingly, an enlarged appendix. Laparoscopic appendectomy was performed without difficulty. The pathology report identified a mucinous cystadenoma. Despite the recent evolution of medical imaging techniques, a misdiagnosis of the nature of a pelvic mass is still possible, leading, occasionally, to the delay of an appropriate treatment. In any case of doubt, a diagnostic laparoscopy should be performed as a golden standard in the diagnosis and management of pelvic adnexal masses in women.},
  author       = {Galajdova, Lenka and Braems, Geert and Lambein, Kathleen and Ceelen, Wim and Van den Broecke, Rudy},
  issn         = {1613-2076},
  journal      = {GYNECOLOGICAL SURGERY},
  keywords     = {Pelvic mass,Hydrosalpinx,Pseudomyxomatosis peritonei,Ovarian mass,Ovarian cyst,Medical imaging,Pelvic ultrasound,Appendiceal pathology,Mucinous cystadenoma,Appendiceal tumour,Mucinous neoplasm of the appendix,Appendix},
  language     = {eng},
  number       = {1},
  pages        = {61--65},
  title        = {Mucineus cystadenoma of the appendix presenting as a hydrosalpinx: a pitfall in gynaecological medical imaging},
  url          = {http://dx.doi.org/10.1007/s10397-008-0387-9},
  volume       = {6},
  year         = {2009},
}

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