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<p>Appendicular lumen is distended and appendicular epithelium is extensively ulcerated and reduced in few foci to a flat layer of simple columnar mucigenic epithelium. Foci of ulceration are seen related to dense non-specific inflammation rich in neutrophils, lymphocytes, plasma cells with histiocytes. This infiltrate extends to involve the whole thickness of the thick and fibrotic wall. No evidence of malignancy. </p>
<p>Acute appendicitis with dilated appendix up to 13 mm.</p>
<p class="ql-align-justify">Appendicectomy specimen showing appendix 4.5 2.3 cm long with attached mesoappendix measuring 3x1.5 cm. Opening revealed almost complete replacement of appendix by a cyst filled with gelatinous material, with intact wall, 0.2 cm in thickness.</p>
<p><strong><em><u>Appendicectomy:</u></em></strong></p><ul><li><strong>Non-neoplastic mucocele with associated acute on top of chronic chronic appendicitis. </strong></li><li><strong>Negative for epithelial dysplasia or malignancy.</strong></li></ul><h5><strong><u>COMMENT:</u></strong></h5><h5 class="ql-align-justify">This represents a non-neoplastic (simple) mucocele resulting from luminal obstruction. Such lesions are entirely benign and are cured by appendicectomy. No evidence of mucinous neoplasm or extra-appendiceal mucin is identified.</h5>
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