Avid 18 F - FDG uptake in rectal hemorrhoid in a patient with metastatic medullary carcinoma of thyroid Image

Surgery is the treatment of choice, and should be done early as tumor cannot be ruled out as the causative factor for the mucocele. Pre-operative diagnosis is important, to avoid unintended rupture and the development of pseudomyxoma peritonei during surgery. Laparoscopic resection has been used with good results.4,7 However, laparoscopic dissection, grasping of the appendix specimen, pneumoperitoneum, or transport of the specimen through the abdominal wall might contribute to peritoneal dissemination of a tumor, if present. These setbacks can be avoided by taking precautions like using bowelholding graspers (non-traumatic) to handle the mucocele, and using a non-permeable bag to deliver the specimen out of the port.