Agrawal Vivek, Prasad Shiv
Department of Surgery, University College of Medical Sciences, Associated Guru Tegh Bahadur Hospital, Dilshad Garden, Delhi 110095.
Trop Gastroenterol. 2003 Apr-Jun;24(2):87-9.
Appendicular inflammation can present as a discharging fistula on the abdominal wall. This faecal fistula can be difficult to diagnose even with the assistance of advanced radiological techniques. Many pathological conditions of the appendix can present as appendico-cutaneous fistulae, and these have been defined to be distinct from those external appendicular fistulae that follow appendicectomy for acute appendicitis. Appendico-cutaneous fistula is a rare disease, and we could retrieve only 16 cases from a (Pubmed) search. An exploratory laparotomy is the gold standard for confirmation of this rare condition and, simultaneously, it allows treatment by appendicectomy and excision of the fistulous tract. We report and discuss one such case that we managed.
阑尾炎症可表现为腹壁有排液瘘管。即使借助先进的放射技术，这种粪瘘也可能难以诊断。阑尾的许多病理状况都可表现为阑尾皮肤瘘，并且已明确这些情况与急性阑尾炎阑尾切除术后出现的外部阑尾瘘不同。阑尾皮肤瘘是一种罕见疾病，通过（PubMed）检索我们仅找到16例病例。剖腹探查术是确诊这种罕见病症的金标准，同时还能通过阑尾切除术和切除瘘管进行治疗。我们报告并讨论我们处理的这样一例病例。
