Liang Mike K, Lo Helen G, Marks Jenifer L
Department of Surgery, Bellevue Hospital, New York, New York, USA.
Am Surg. 2006 Feb;72(2):162-6.
Appendectomy for appendicitis is one of the most common procedures performed in the United States. Residual tissue left after an initial appendectomy risks the development of stump appendicitis. A comprehensive review of the English-language literature revealed 36 reported cases of stump appendicitis. Typically, patients present with signs and symptoms similar to acute appendicitis; however, due to prior surgery, the diagnosis is difficult and the rate of appendiceal stump perforation is extremely high. Herein, we present a case of a 32-year-old female presenting with right lower quadrant pain, nausea, and fever 5 months after laparoscopic appendectomy. Upon surgery, an appendiceal stump was discovered.
阑尾炎阑尾切除术是美国最常见的手术之一。初次阑尾切除术后残留的组织有发生阑尾残株炎的风险。对英文文献的全面回顾发现了36例阑尾残株炎的报道病例。通常，患者表现出与急性阑尾炎相似的体征和症状；然而，由于既往手术史，诊断困难，阑尾残端穿孔率极高。在此，我们报告一例32岁女性患者，在腹腔镜阑尾切除术后5个月出现右下腹疼痛、恶心和发热。手术时发现了阑尾残端。
