Bowling C Bryce, Lipscomb Gary H
Department of Obstetrics and Gynecology, University of Tennessee Health Science Center, Memphis, Tennessee 38163, USA.
Obstet Gynecol. 2006 Feb;107(2 Pt 2):466-7. doi: 10.1097/01.AOG.0000164066.65435.49.
Appendiceal torsion is rare and generally seen more frequently in children than adults. Untreated it can lead to necrosis, ulceration, and subsequent peritonitis.
A middle-aged female presented with a 5-day history of cramping abdominal pain and nausea and vomiting. Abdominal wall guarding and rebound tenderness was noted on examination. Computerized tomography showed an 8 x 4 cm mass anterior to the uterus, suggestive of degenerating fibroid versus ovarian dermoid cyst. Laparoscopy was performed for presumed ovarian torsion. Torsion of the appendix was discovered and treated by laparoscopic appendectomy.
Patients with presumed ovarian torsion should undergo urgent laparoscopy for diagnosis and attempted ovarian salvage. The possibility of conditions that may require different surgical interventions, such as appendiceal torsion, should be considered.
阑尾扭转较为罕见，通常在儿童中比成人更常见。若不治疗，可导致坏死、溃疡及随后的腹膜炎。
一名中年女性，有5天的腹部绞痛、恶心和呕吐病史。检查时发现腹壁有压痛和反跳痛。计算机断层扫描显示子宫前方有一个8×4厘米的肿块，提示可能是变性肌瘤或卵巢皮样囊肿。因推测为卵巢扭转而进行了腹腔镜检查。术中发现阑尾扭转，并通过腹腔镜阑尾切除术进行了治疗。
对于推测为卵巢扭转的患者，应紧急进行腹腔镜检查以明确诊断并尝试挽救卵巢。应考虑到可能需要不同手术干预的情况，如阑尾扭转。
