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Case Reports in Medicine
Volume 2010, Article ID 745021, 3 pages
http://dx.doi.org/10.1155/2010/745021
Case Report

Myxoglobulosis of the Appendix: A Case Associated with Ruptured Diverticulum

Department of Pathology, “Agios Andreas” General Hospital, Tsertidou 1, 26 335 Patras, Greece

Received 26 March 2010; Accepted 11 August 2010

Academic Editor: Herman Terence Yee

Copyright © 2010 Panagiotis Aroukatos et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We describe a case of the extremely rare entity of myxoglobulosis of the appendix from a 45-year-old white man who was operated urgently with the clinical diagnosis of acute appendicitis. Sectioning of the appendix revealed the presence in the dilated appendiceal lumen of numerous whitish opaque globules ranging in size from 0.2 to 0.7 cm in diameter. A ruptured diverticulum and several smaller ones were also found. On microscopic examination, the globules consisted of faintly eosinophilic laminations of mucin surrounding an amorphous granular core. The mucin was identified by positivity with histochemical mucin stains. After thorough microscopic examination of the appendix, our case was diagnosed as myxoglobulosis due to mucosal hyperplasia, associated with ruptured diverticulum and acellular extra-appendiceal mucin deposits.