Appendiceal mucocele

Discussion:

The CT features are most consistent with appendicular mucocele.

The curvilinear mural calcification seen on CT suggests the diagnosis but is seen in less than 50% of cases. 

When identifying a mucocele on CT, a search for extraluminal mucin is mandatory, which are low attenuation deposits commonly seen in certain locations:

  • periappendiceal space 

  • peritoneal cavity

  • at the surface of abdominal viscera, including ovaries and bowel

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