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先天性盲肠憩室急性炎症酷似阑尾炎。

Acute inflammation of a congenital cecal diverticulum mimicking appendicitis.

作者信息

Griffiths Ewen A, Bergin Fintan G, Henry James A, Mudawi Ahmed M

机构信息

Department of Surgery, Queen Elizabeth Hospital, Gateshead, Tyne and Wear, United Kingdom.

出版信息

Med Sci Monit. 2003 Dec;9(12):CS107-9.

PMID:14646979
Abstract

BACKGROUND

Cecal diverticulitis is a relatively rare problem in the Western world. It is often clinically indistinguishable from acute appendicitis.

CASE REPORT

We present a case of a young woman who was suspected to have acute appendicitis prior to operation. At operation an unexpected and suspicious cecal mass was found and the procedure was revised to a right hemicolectomy. Subsequent histological examination revealed an acutely inflamed solitary, congenital diverticulum of the cecum.

CONCLUSIONS

We would like to highlight this uncommon condition to ensure that its first encounter is not in the operating theatre. The varied and controversial management options are briefly discussed.

摘要

背景

在西方世界,盲肠憩室炎是一个相对罕见的问题。它在临床上常常与急性阑尾炎难以区分。

病例报告

我们呈现了一例年轻女性病例,该患者在手术前被怀疑患有急性阑尾炎。手术中发现了一个意外且可疑的盲肠肿物,于是手术改为右半结肠切除术。随后的组织学检查显示为一个急性发炎的孤立性先天性盲肠憩室。

结论

我们希望强调这种不常见的病症,以确保其首次被发现不是在手术室。本文简要讨论了各种存在争议的治疗选择。

相似文献

1
Acute inflammation of a congenital cecal diverticulum mimicking appendicitis.先天性盲肠憩室急性炎症酷似阑尾炎。
Med Sci Monit. 2003 Dec;9(12):CS107-9.
2
Therapy of solitary cecal diverticulitis in a young patient with laparoscopic right hemicolectomy.一名年轻患者的孤立性盲肠憩室炎采用腹腔镜右半结肠切除术治疗。
Surg Laparosc Endosc Percutan Tech. 2011 Aug;21(4):e176-8. doi: 10.1097/SLE.0b013e31821e5f96.
3
Solitary diverticulitis of the right colon.
Can J Surg. 1982 Sep;25(5):579-81.
4
Management of cecal diverticulitis.
Am J Gastroenterol. 1986 Nov;81(11):1104-6.
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Solitary diverticulum of the caecum and its complications.盲肠孤立性憩室及其并发症
Ann Chir Gynaecol Suppl. 1977;66(5):230-3.
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Acute solitary diverticulitis of the caecum. Case report.
Acta Chir Scand. 1988 May-Jun;154(5-6):399-401.
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Cecal diverticulitis.
Can J Surg. 1989 Jul;32(4):283-6.
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[A rare case of a perforated diverticulum of the cecum].[一例罕见的盲肠憩室穿孔病例]
Minerva Chir. 1998 Jun;53(6):531-4.
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Diverticulitis of the cecum.盲肠憩室炎
Surg Gynecol Obstet. 1983 Jun;156(6):743-8.
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[Diagnosis and therapy of cecal diverticulitis].[盲肠憩室炎的诊断与治疗]
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Caecal diverticulitis can be misdiagnosed as acute appendicitis: a systematic review of the literature.盲肠憩室炎可能被误诊为急性阑尾炎:文献系统综述。
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Intraoperative diagnosis of solitary cecal diverticulum not requiring surgery: is appendectomy indicated?术中诊断为无需手术的孤立性盲肠憩室:是否需要行阑尾切除术?
World J Emerg Surg. 2016 Jan 4;11:1. doi: 10.1186/s13017-015-0057-y. eCollection 2016.
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Cecal diverticulitis is a challenging diagnosis: a report of 3 cases.盲肠憩室炎是一种具有挑战性的诊断:3例报告。
Am J Case Rep. 2015 Apr 8;16:206-10. doi: 10.12659/AJCR.892848.
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Diverticular disease of the right colon.右半结肠憩室病
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Caecal diverticulitis presenting as acute appendicitis: a case report.盲肠憩室炎表现为急性阑尾炎:病例报告。
World J Emerg Surg. 2009 Jul 31;4:29. doi: 10.1186/1749-7922-4-29.
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Cecal diverticulitis mimicking acute Appendicitis: a report of 4 cases.盲肠憩室炎模拟急性阑尾炎:4 例报告。
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