Gotohda N, Itano S, Okada Y, Horiki S, Endo A, Terada N, Isozaki H, Takakura N, Tanaka N
Department of Surgery, Terada Hospital, Nabari, Mie, Japan.
J Gastroenterol. 2000;35(11):861-3. doi: 10.1007/s005350070024.
We report a case of appendicitis caused by amebiasis in a 45-year-old Japanese man. He presented to our hospital with bloody stools in June 1998. Sigmoidoscopy disclosed erosion, and a biopsy of the erosion showed colitis caused by Entamoeba histolytica infection. Four months later, he was admitted to our hospital with a small elastic mass and severe pain in the lower quadrant of the abdomen, which was diagnosed as acute appendicitis. He underwent appendectomy. Histopathological examination revealed numerous E. histolytica trophozoites, and we diagnosed acute appendicitis caused by E. histolytica. The patient has been free of symptoms, colonoscopy has revealed no erosion, and biopsy has revealed no E. histolytica for 12 months after the operation.
我们报告一例由阿米巴病引起阑尾炎的45岁日本男性病例。他于1998年6月因便血前来我院就诊。乙状结肠镜检查发现有糜烂，对糜烂部位进行活检显示为溶组织内阿米巴感染所致的结肠炎。四个月后，他因下腹部有一个小的弹性肿块和剧痛入住我院，被诊断为急性阑尾炎。他接受了阑尾切除术。组织病理学检查发现大量溶组织内阿米巴滋养体，我们诊断为溶组织内阿米巴引起的急性阑尾炎。术后12个月，患者无症状，结肠镜检查未发现糜烂，活检未发现溶组织内阿米巴。
