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Case Reports in Obstetrics and Gynecology
Volume 2014, Article ID 486078, 4 pages
Case Report

Large Mucocele of the Appendix at Laparoscopy Presenting as an Adnexal Mass in a Postmenopausal Woman: A Case Report

School of Medicine, Academic Department of Biomedicine & Prevention and Clinical Department of Surgery, Section of Gynecology and Obstetrics, Tor Vergata University Hospital, Viale Oxford 81, 00133 Rome, Italy

Received 20 January 2014; Accepted 14 March 2014; Published 6 April 2014

Academic Editor: Maria Grazia Porpora

Copyright © 2014 Elvira Paladino 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.


A 79-year-old female was referred to our Gynecologic Department presenting with a pelvic magnetic resonance imaging (MRI), showing an adnexal mass, later confirmed at the pelvic examination. The patient’s routine laboratory tests were normal. A sonographic examination was performed with inconclusive results. Although the ultrasonography excluded the presence of vascularization and malignant degeneration, the adnexal localization appeared to be dubious. The laparoscopy and the subsequent histologic examination revealed the presence of a mucocele of the appendix. The following case report focuses the attention on a misdiagnosis of appendiceal mucocele. The misdiagnosis caused no negative impact on the treatment that in this case was adequate and successful.