Unusual discovery of an appendiceal mucocele in case of stump appendicitis: a rare clinical presentation and diagnostic challenge

Abstract

INTRODUCTION: The simultaneous occurrence of stump appendicitis and appendiceal mucocele is rare, challenging diagnosis and treatment. High suspicion for atypical pathologies is crucial post-appendectomy, especially with right lower quadrant pain. CASE PRESENTATION: A 30-year-old male, post-appendectomy, presented with pain, fever, leukocytosis, and elevated CRP. CT revealed an appendicular abscess. Laparoscopic completion appendectomy and abscess drainage were performed. Histopathology confirmed a mucocele. CLINICAL DISCUSSION: Differentiating these conditions is difficult due to similar clinical features and imaging limitations. Meticulous intraoperative assessment and tailored surgical approaches are essential. Stump appendicitis requires completion appendectomy, while mucocele management varies. CONCLUSION: This rare occurrence necessitates heightened clinical awareness. Thorough evaluation and strategic imaging are vital for accurate diagnosis and tailored interventions, ensuring optimal patient outcomes.