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Diagnostic Ultrasound - Abdomen and Pelvis

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Appendiceal Mucocele<br />

(Left) Sagittal MPR image<br />

from a CT colonography study<br />

performed for anemia shows<br />

an incidental appendicular<br />

mucocele. The base of the<br />

distended appendix <br />

projects into the cecal lumen.<br />

(Right) Endoluminal view from<br />

the prone series of the same<br />

study demonstrates smooth<br />

extrinsic compression into the<br />

cecal lumen.<br />

Diagnoses: Bowel<br />

(Left) Photograph of gross<br />

specimen shows resected<br />

appendicular mucocele <br />

attached to the cecum .<br />

(Right) Macroscopic cross<br />

section of the resected<br />

specimen shows the typical<br />

appearance of the yellowish,<br />

jelly-like mucinous content.<br />

Histology confirmed low-grade<br />

mucinous tumor of the<br />

appendix.<br />

(Left) Longitudinal color<br />

Doppler ultrasound of the<br />

right lower quadrant in a<br />

patient who presented with<br />

fullness shows mucocele <br />

containing mixed echogenicity<br />

contents with no internal color<br />

flow. Note the posterior<br />

acoustic enhancement .<br />

(Right) Axial CECT in the<br />

portal venous phase of a<br />

mucocele with fine mural<br />

calcification shows mild<br />

surrounding fat infiltration st.<br />

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