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Myxoma of the appendix in the postpartum period in the practice of a gynecologist

Myxoma (mucocele) of the appendix is a cyst of the appendix containing mucus of various consistency (from watery to jelly-like) with chronic inflammation of the appendix with cicatricial narrowing of the base of the appendix, compression and obliteration of its lumen. It is a rare peculiar neoplasm of the appendix, and occurs in 0.02–0.5 % of all appendectomy, common in women of reproductive age. Myxoma is often found as an incidental, asymptomatic finding in 25 % of cases. The diagnosis of myxoma of the appendix is established only intraoperatively. Currently, the most precise method for the diagnosis and treatment of benign myxoma is laparoscopy. This article presents a clinical case of appendix myxoma diagnosed in a patient in the postpartum period, in which the method of laparoscopic salpingectomy and appendectomy was applied to verify the diagnosis and treatment. This clinical case once again proves that there are no certain pathognomonic signs characteristic of appendix myxoma, including in the postpartum period, therefore, careful history taking, in-depth diagnostic examination methods (ultrasound, CT, MRI) and timely use in the diagnosis of laparoscopic methods in patients with appendix myxoma. This will make it possible to competently conduct differential diagnostics, avoid errors, both in diagnosis and in the treatment of these patients, reduce the stay in a hospital bed, and thereby, most importantly, improve the quality of life of a woman