Article: Mucocele of the appendix associated with a carcinoid of the terminal ileum

A 54-year-old woman presented to the emergency department with acute right lower quadrant abdominal pain of a few hours duration. Past medical history revealed recurrent lower abdominal pains, investigated 5 years previously by endoscopy and abdominal imaging, which were reportedly normal. On physical exam, there was an ill-defined mass in the right lower quadrant without any residual pain or other abnormal findings. Complete blood count and standard biochemical studies were normal.

Computed tomography of the abdomen showed an 11 cm × 3.8 cm fluidfilled appendix with intramural calcification (Fig. 1). There was a suspicious 2.3 cm lymph node in the right mesocolon. There was also a benign ...

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