Helped Over 500,000 patients with 98%+ satisfaction.

Connect & Get Personalized 1-to-1 Answers from Expert Doctors

DoctorSpring > Question Home

Treatment for APPENDICEAL MUCOCELE WITH INFLAMMATORY CHANGES.

Resolved Question:

MY grandfather is 70 year old with complain of right lower quadrant pain past 6-7 days.Slightly elevated WBC & slightly low haemoglobin. No other test done.
contrast CT scan today reports
1. Grossly distended appendix with thickened, edematous & enhancing wall. 42 mm in caliber, wall thickness 9 mm. Marked periappendiceal soft tissue stranding - S/o appendiceal mucocele with acute inflammatory changes.
2. Reactive edematous inflammatory thickening of terminal ileal loop.
3. Multiple diverticular outpouchings are seen involving sigmoid colon and descending colon.
4. Multiple small subcentimeter mesenteric and retroperitoneal lymphnodes are seen.
rest normal
the GI surgeon is recommending
a. immediate LAP surgery with option of converting to open surgery today
b. probability of cancer also
b. says, if visually mass is found, he may better do right hemicolectomy & take biopsy samples as due to his age , he may not be able to undergo another surgery again.
decision time - want second opinion on
A. provided chances of it turning out to be cancer
B. course of action, is right hemicolectomy right course of action in the circumstances
regards
robert lobo
goa

Category: Gastroenterologist, Surgical

Ask Your Own Question

Category: Gastroenterologist, Surgical
 20 Doctors Online

Hello.
Thank you for your query at DoctorSpring.com

I totally agree with the evaluation, diagnosis and plan of management
CT scan s/o mucocele of appendix, at the age of 70yrs chances having malignancy is high, needs to go for right hemicolectomy.
Feel free to discuss further,

Regards
Dr. Lokesh


Dr. Lokesh HM
Category: Gastroenterologist, Surgical
Experience: 
Fellowship: Minimal Access Surgery (FMAS)
Fellowship: Pancreato-Biliary surgery (FPBS), SGPGI Lucknow, 2012
Senior Residency: MCh, Sanjay Gandhi Post Graduate Institute of Medical Sciences (SGPGI) Lucknow, 2011
Junior Residency: MS, PGIMER, Chandigarh, 2008
Medical School: MBBS, MS from Post Graduate Institute of Medical Education and Research (PGIMER) Chandigarh, 2007
Dr. Lokesh HM and 4 other Medical Specialists are ready to help you

Users who read this, also read:

Make informed and better medical decisions.

Join the 500,000 people who found a smarter, quicker way to get Answers, Recommendations & Expert Opinions.

Expert Doctors at fingertips

Recommendation on next step. Second-opinion.Multi-specialty.

Save Time

Average time for answers: 6 hours.

Save Money

$35 for typical specialist consult vs. $120 for a local appointment.

Free Follow-ups

Clarify, ask further questions for free in private conversation.

100% Satisfaction

Money back guarantee for the 1st reply. MEDNET Quality Board.

Start My Consultation

CHAT NOW

About DoctorSpring.com

Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in news