Joana Ferrer Fábrega (Hepatobiliary senior surgeon) Victor Turrado Rodriguez (Gastrointestinal surgeon specialist) Beatriz Martin Pérez (Gastrointestinal surgeon specialist) Ana Otero Piñeiro (Gastrointestinal surgeon specialist) Gabriel Díaz del Gobo (Gastrointestinal surgeon specialist) Hospital Clínic, Barcelona – Spain
A 51-year-old man with a medical history of diabetes mellitus type 1 from the age of 23 and diabetic nephropathy treated with hemodialysis.
He was referred to the Outpatient Clinic for evaluation of a kidney-pancreas transplant. During the preoperative workup a CT scan was performed and an image of a dilated appendix, 2.6×8 cm, compatible with appendiceal mucocele was found (FIG 1, red arrow; FIG 2, red arrow)
A colonoscopy was performed which only found a 6mm angiodysplasia in the transverse colon. The appendicular orifice was not seen due to fecal detritus in the colon. The blood test was normal except for CEA 40.1 ng/mL and CA 19.9 49 U/mL.
It was decided to perform a right colectomy prior to the kidney-pancreas transplant.