A 47-year-old woman with no previous digestive symptoms was detected in a routine follow-up laboratory by her gynecologist at levels of 2 ngA antigen/ml.
We then performed: a) an objective blind diagnostic ultrasound which reports the presence of a mass of 6.5 x 5.6 cm retrouterine arrangement and that seemed to depend on the presence of a completely laparoscopically oriented uterus; b)
A computerized axial tomography (CAT) of the abdomen and pelvis was performed, which confirmed the existence of a pelvic mass with cystic appearance of 11 x 8 cm, anterior superior ileus with encapsulated bladder and close to adjacent organs.
Elective surgery was performed, describing the presence of a mucocele incidence in the postoperative period, 12 cm in diameter without free fluid or peritoneal implants and performing a right ileocolectomy with oncologic anastomosis 5 day.
1.
The histopathological study of the specimen showed an ileocecal appendix of 9 x 5.5 cm occupied by mucoid material, being informed of "many invasion secondary to mucinous tumor certify the calcified potential of malignancy"; without being possible local invasion.
The eight lymph nodes that were isolated from the resection specimen were free of neoplasia.
1.
After 3 years of follow-up, the patient is asymptomatic and the most recent tumor markers and CT scans are absolutely normal.
