A 77-year-old man presented with altered bowel habit and episodic right lower abdominal discomfort. A barium enema showed a large smooth filling defect in the caecum and at operation his appendix was Seen to be hugely distended. Pathological examination showed myxoglobulosis, a rare variant of Mucocele of the appendix. The appendiceal orifice was completely occluded by an imperforate membrane With no communication between the appendix and caecum. This is the first published report in the English language of appendiceal myxoglobulosis in association with such an occlusive membrane.
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