May 1962

Diagnostic Features of Mucocele of the Appendix

Author Affiliations

From the Department of Surgery, Roswell Memorial Institute, Buffalo.

Arch Surg. 1962;84(5):516-524. doi:10.1001/archsurg.1962.01300230032008

Mucocele of the appendix was recognized by Rokitansky1 in 1842, and was described by Virchow in 1863.2 Feré applied the name "mucocele" in 1877.3 In 1916 Dodge4 found only 142 cases of mucocele reported in the literature, and in 1928 Weaver5 added 26 cases, including 2 of his own. Mucocele of the appendix has remained a relatively infrequent disease, occurring in from 0.2%6 to 1.5%7 of autopsies. Jirka and Scuderi8 found an incidence of 0.23% of mucoceles in appendectomies, as compared to an incidence of only 0.043% in an almost equal number of autopsy specimens, indicating that the symptoms are severe enough to lead to operation in these patients. Latimer9 believed that the symptoms of mucocele are frequently severe enough to cause removal of the appendix, although a preoperative diagnosis was a rarity. He credited Vorhaus10 and Maydl11 with

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