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Journal of the South African Veterinary... Dec 2015Gallbladder mucocoele (GBM) is an abnormal, intraluminal accumulation of inspissated bile and/or mucous within the gallbladder. Older, small- to medium-breed dogs seem... (Review)
Review
Gallbladder mucocoele (GBM) is an abnormal, intraluminal accumulation of inspissated bile and/or mucous within the gallbladder. Older, small- to medium-breed dogs seem to be predisposed, but no sex predilection has been identified. Clinical signs are often non-specific and include vomiting, lethargy, anorexia, abdominal pain, icterus and polyuria-polydipsia. Results of a complete blood count may be unremarkable, but serum biochemistry usually reveals increased liver enzymes. The ultrasonographic appearance is diagnostic and well described in the literature. Surgical intervention for the treatment of GBM remains the therapeutic gold standard, with short- and long-term survival for biliary surgery being 66%. The worst outcome is seen in those dogs requiring cholecystoenterostomy. With GBM becoming an apparently increasingly common cause of extrahepatic biliary disease in canines, it is essential that clinicians become familiar with the current literature pertaining to this condition. Numerous predisposing factors are highlighted in this review article and the role of certain endocrinopathies (e.g. hyperadrenocorticism and hypothyroidism) in the development of GBM is touched upon. Furthermore, the aetiopathogenesis of this disease is discussed with reference to the latest literature. Cholecystectomy remains the treatment of choice, but other options are considered based on a current literature review.
Topics: Animals; Cholecystectomy; Diagnosis, Differential; Dog Diseases; Dogs; Gallbladder Diseases; Mucocele; Ultrasonography
PubMed: 26824341
DOI: 10.4102/jsava.v86i1.1318 -
The Pan African Medical Journal 2020Mucoceles of the oral mucous membrane are benign tumoral diseases of the minor salivary glands of the oral mucous membrane. They most commonly occur in the labial...
Mucoceles of the oral mucous membrane are benign tumoral diseases of the minor salivary glands of the oral mucous membrane. They most commonly occur in the labial mucosa. They can be caused by a break in the epithelium of the gland secreting saliva in the extra-glandular space and forming a pseudo cyst (extravasation mucoceles) or by a block in salivary flow due to an epithelial proliferation of the excretory duct forming salivary cyst (retention cyst). Various therapeutic approaches can be used. Traditional surgical resection is the most effective strategy with low recurrence rate. We here report a clinical case in order to give an update on this lesion. The patient involved in the study was treated in the Department of Dentistry and Oral Surgery, CCTD, Rabat, Morocco.
Topics: Adult; Humans; Male; Morocco; Mouth Mucosa; Mucocele; Salivary Glands, Minor
PubMed: 32655754
DOI: 10.11604/pamj.2020.35.140.21079 -
Journal of Veterinary Internal Medicine Sep 2019Gallbladder mucoceles (GBM) typically are treated by cholecystectomy. Medical management rarely has been reported and medical and surgical management have not been... (Comparative Study)
Comparative Study
BACKGROUND
Gallbladder mucoceles (GBM) typically are treated by cholecystectomy. Medical management rarely has been reported and medical and surgical management have not been compared.
HYPOTHESIS/OBJECTIVES
To compare survival of dogs treated for GBM by medical management or cholecystectomy or both.
ANIMALS
Eighty-nine client-owned dogs diagnosed with GBM that received cholecystectomy or medical treatment or both from 2011 to 2017.
METHODS
Potential cases were identified by searching the medical records database. Data collected included signalment, clinicopathologic results, treatments, and ultrasonographic images and reports. Dogs were grouped according to the treatment received (medical management, surgical treatment, or both) that was chosen at the discretion of the attending veterinarian. Survival analysis was performed and prognostic variables identified and compared between treatment groups.
RESULTS
Of dogs surviving at least 14 days after diagnosis, median survival times were 1802 (95% confidence interval [CI], 855-not reached) days, 1340 (95% CI, 444-1340) days, and 203 (95% CI, 18-525) days, for the surgical, medical, and medical then surgical treatment groups, respectively, and differed significantly (P < .0001). Gallbladder mucocele type (P = .05), serum alkaline phosphatase activity (P = .0001), and serum creatinine (P = .002) and phosphorus (P = .04) concentrations were associated with decreased survival across groups. Suspicion of biliary rupture on abdominal ultrasound (AUS) examination was correlated with increased survival in the surgical group (P = .02).
CONCLUSIONS AND CLINICAL IMPORTANCE
Cholecystectomy for the treatment of GBM results in the best long-term survival in dogs surviving the immediate postoperative period (14 days) compared to medical management. Although medical management is associated with shorter survival compared to surgical treatment, it is a reasonable alternative when surgery cannot be pursued.
Topics: Abdomen; Alkaline Phosphatase; Animals; Bile Duct Diseases; Cholecystectomy; Creatinine; Dog Diseases; Dogs; Female; Gallbladder Diseases; Male; Mucocele; Phosphorus; Prognosis; Retrospective Studies; Survival Analysis; Ultrasonography
PubMed: 31490022
DOI: 10.1111/jvim.15611 -
CMAJ : Canadian Medical Association... Oct 2023
Topics: Humans; Lip; Mucocele
PubMed: 37871946
DOI: 10.1503/cmaj.230466-f -
Swiss Dental Journal Jun 2023
Topics: Humans; Mucocele; Salivary Glands, Minor; Lasers, Gas; Carbon Dioxide; Treatment Outcome
PubMed: 37272605
DOI: No ID Found -
Chirurgia (Bucharest, Romania : 1990) 2015Appendicular mucocele, a cystic dilatation of the appendix, is a rare disease, but unfortunately about 1/10 of cases evolves into pseudomyxoma peritonei. (Review)
Review
INTRODUCTION
Appendicular mucocele, a cystic dilatation of the appendix, is a rare disease, but unfortunately about 1/10 of cases evolves into pseudomyxoma peritonei.
METHODS
We performed a prospective study between 1 January 2010 to 31 December 2014 in order to track the incidence, symptoms, and circumstances of diagnosis, treatment and evolution of these rare tumors.
RESULTS
A total of seven patients underwent curative surgery for a mucocele of the appendix: one woman and six men with an average age of 59.71 years. Clinical signs, present in two cases, were uncharacteristic. Ultrasound performed in all cases, could guide diagnosis in 5 cases. CT performed in 5 cases diagnosed only two cases. All cases were operated on: the open approach was used in four cases and a minimally invasive in three cases. We performed two right colectomies, an open appendectomy associated to anterior resection of the rectum, two laparoscopic appendectomies and two appendectomies and cecum resection with stapler, one by open approach and one by a minimally invasive approach. Intraoperative spillage of mucinous tumor did not occur in any case. The mean hospital stay was 5.7 days. Postoperative complications were present in 1 case (14.2%): wound infection. The average follow-up period was 40.28 months. (Range 6 to 48 months). No tumor recurrence or readmission, such as pseudomyxoma peritonei, has occurred.
CONCLUSIONS
Appendicular mucocele is a rare entity; it can be found incidentally and it can mimic acute appendicitis, appendicular plastron or cecum tumor. Once diagnosed, surgical treatment is required for fear of perforation, tumor evolution and the emergence of the rule of complications. Laparoscopic approach in selected cases can be used, accompanied by safety measures to avoid iatrogenic perforation and peritoneal and parietal seeding.
Topics: Adult; Aged; Appendectomy; Appendix; Colectomy; Diagnosis, Differential; Female; Follow-Up Studies; Humans; Incidence; Laparoscopy; Length of Stay; Male; Middle Aged; Mucocele; Prospective Studies; Risk Factors; Romania; Treatment Outcome; Wound Infection
PubMed: 26713827
DOI: No ID Found -
International Journal of Surgery... Jun 2015Mucocoele of the appendix is rarely encountered but consultant general surgical and trainees must be aware of it as a differential diagnosis, due to the nuances... (Review)
Review
INTRODUCTION
Mucocoele of the appendix is rarely encountered but consultant general surgical and trainees must be aware of it as a differential diagnosis, due to the nuances associated with its management. We aimed to provide a comprehensive review of the current literature concerning this rare surgical pathology.
METHODS
Search terms "appendi*", "tumour", "malignancy", "mucino*" and "cystadenoma" were used in combination to identify papers from PubMed. Abstracts and full text were manually reviewed to identify suitable papers.
RESULTS
Full search results included 311 articles. Review of titles and abstracts led to further full text review of 46 articles. Of these 30 were selected for inclusion based on relevance, adequate sample size and recent publication date.
DISCUSSION
Mucocoele of the appendix describes dilatation with associated luminal mucin and can result from benign and malignant processes. It contributes 0.2-0.7% of all appendiceal pathologies. The most common presenting symptoms are abdominal pain and a palpable mass in the right iliac fossa. Computed tomography of the abdomen and pelvis is key in facilitating diagnosis, although CEA and CA19-9 also have a role. The major complication of malignant causes of mucocoele is progression to pseudomyxoma peritonei. Treatment is surgical with or without chemotherapy depending on the underlying cause. Prognosis depends on aetiology.
CONCLUSION
Mucocoele of the appendix is a rare diagnosis. However, given the possibility of neoplastic peritoneal dissemination, it should be considered as a diagnosis, especially in older females with non-specific symptoms similar to appendicitis.
Topics: Abdominal Pain; Appendiceal Neoplasms; Appendicitis; Cecal Diseases; Cystadenoma, Mucinous; Diagnosis, Differential; Female; Humans; Mucocele; Peritoneal Neoplasms; Pseudomyxoma Peritonei; Tomography, X-Ray Computed
PubMed: 25917270
DOI: 10.1016/j.ijsu.2015.04.052 -
BMC Surgery Aug 2022Stapled haemorrhoidopexy (SH) has resulted in a unique collection of procedural complications with postoperative mucocele a particularly rare example. This study is...
BACKGROUND
Stapled haemorrhoidopexy (SH) has resulted in a unique collection of procedural complications with postoperative mucocele a particularly rare example. This study is designed to comprehensively describe the characteristics of rectal mucocele and discuss its pathogenesis following SH surgery.
METHODS
A database of patients presenting with a rectal mucocele following an SH procedure was established and studied retrospectively.
RESULTS
Seven patients (5 males; median age 32 years, range 20-75 years) were identified. All patients complained of variable anal discomfort with 5/7 presenting with inconstant anal pain, 2 with de novo evacuatory difficulty. These cases appeared at a median time of 6 months (range 2-84 months) after SH surgery.
CONCLUSION
Rectal Mucocele develops when mucosal fragments become embedded and isolated under the mucosa. It is a preventable complication of SH surgery by ensuring correct purse string placement prior to stapled haemorrhoid excision.
Topics: Adult; Aged; Hemorrhoids; Humans; Male; Middle Aged; Mucocele; Postoperative Complications; Rectum; Retrospective Studies; Surgical Stapling; Treatment Outcome; Young Adult
PubMed: 35915446
DOI: 10.1186/s12893-022-01744-3 -
Indian Journal of Dental Research :... 2020Cysts of the oral cavity are among the most commonly encountered biopsy specimen in histopathology. Shear categorized the cysts associated with maxillary antrum under...
Cysts of the oral cavity are among the most commonly encountered biopsy specimen in histopathology. Shear categorized the cysts associated with maxillary antrum under four subheadings - mucocoele, retention cyst, pseudocyst, and postoperative maxillary cyst (PMC). PMC is also known as surgical ciliated cyst, postoperative paranasal cyst, or respiratory implantation cyst. Although it constitutes 20% of oral cysts in Japan, it is quite rare in the other parts of the world. Herewith, we report a case of a 65-year-old female who presented with the complaint of palatal swelling and having a history of maxillary sinus surgery 30 years ago.
Topics: Aged; Female; Humans; Maxilla; Maxillary Sinus; Mucocele; Paranasal Sinus Diseases; Postoperative Complications
PubMed: 32246701
DOI: 10.4103/ijdr.IJDR_259_18 -
European Annals of Otorhinolaryngology,... Feb 2019Newborns are obligatory nasal breathers. Therefore, nasal obstruction can lead to cyanosis and desaturation. In spite of being very rare, congenital bilateral...
INTRODUCTION
Newborns are obligatory nasal breathers. Therefore, nasal obstruction can lead to cyanosis and desaturation. In spite of being very rare, congenital bilateral dacryocystocele is a possible etiology for neonatal respiratory distress.
CASE SUMMARY
Case report of a male newborn with respiratory distress caused by a bilateral polypoid and bluish lesion occupying almost the entire inferior nasal meatus. Imaging confirmed bilateral dacryocystocele. Treatment was conservative. There was spontaneous drainage, with relief of respiratory distress. Discussion The diagnosis of congenital dacryocystocele is clinical, although imaging exams may be requested to confirm it. Treatment is controversial, because the natural history is variable. An initial conservative management may be recommended, but, if there is a permanent respiratory obstruction without improvement, surgical management is mandatory.
Topics: Anti-Bacterial Agents; Conservative Treatment; Humans; Infant, Newborn; Lacrimal Apparatus Diseases; Male; Massage; Mucocele; Nasal Obstruction; Nose Diseases; Respiratory Distress Syndrome, Newborn
PubMed: 30337239
DOI: 10.1016/j.anorl.2017.10.006