Place R J, Simmang C L, Huber P J
Department of Surgery, University of Texas Southwestern Medical Center, Dallas 75235, USA.
South Med J. 2000 Jan;93(1):76-9.
We report the case of a 56-year-old man with episodic right lower quadrant abdominal pain. Preoperative evaluation included computed tomography (CT) showing a right lower quadrant phlegmon consistent with cecal diverticulitis or appendicitis. The patient was treated with a short course of bowel rest and antibiotics. Four weeks later, he had an appendectomy. The patient was found to have chronic appendiceal diverticulitis and recovered uneventfully. Histopathologic studies revealed herniated mucosa through the muscular layer associated with chronic inflammation and marked fibrosis. These findings represent appendiceal diverticulitis. Diverticulosis of the appendix is believed to be uncommon and roentgenologic diagnosis of appendiceal diverticular disease is rarely made. We discuss the diagnosis and CT findings of appendiceal diverticulitis and present a thorough review of the literature.
我们报告了一例56岁 episodic right lower quadrant abdominal pain的男性患者。术前评估包括计算机断层扫描（CT），显示右下腹蜂窝织炎，符合盲肠憩室炎或阑尾炎。患者接受了短期的肠道休息和抗生素治疗。四周后，他接受了阑尾切除术。患者被发现患有慢性阑尾憩室炎，恢复顺利。组织病理学研究显示黏膜通过肌肉层突出，伴有慢性炎症和明显纤维化。这些发现代表阑尾憩室炎。阑尾憩室病被认为不常见，阑尾憩室疾病的放射学诊断很少做出。我们讨论了阑尾憩室炎的诊断和CT表现，并对文献进行了全面回顾。 （注：“episodic right lower quadrant abdominal pain”中“episodic”暂无法准确翻译，推测可能是发作性之类意思，这里按原样保留，你可根据实际情况修改）
