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阑尾黏液囊肿——诊断难题:一例病例报告

Mucocele of the appendix - a diagnostic dilemma: a case report.

作者信息

Bartlett Ciprian, Manoharan Madhavi, Jackson Anne

机构信息

Department of Obstetrics and Gynaecology, Homerton University NHS Foundation Trust, London, UK.

出版信息

J Med Case Rep. 2007 Dec 19;1:183. doi: 10.1186/1752-1947-1-183.

Abstract

INTRODUCTION

Mucocele of the appendix secondary to mucinous cystadenoma is a rare clinical finding. Clinical presentation is varied with more than half being asymptomatic.

CASE PRESENTATION

We report such a case presenting to the surgeons where initial clinical findings and investigations suggested an ovarian cyst. The patient was subsequently referred to the Gynaecologists for further management. In spite of extensive preoperative investigations, the diagnosis was only made at the time of surgery.

CONCLUSION

In women presenting with a right iliac fossa mass and clinical features not indicative of gynaecological pathology, an appendiceal origin should be considered in the differential diagnosis.

摘要

引言

黏液性囊腺瘤继发阑尾黏液囊肿是一种罕见的临床发现。临床表现多样,超过半数患者无症状。

病例报告

我们报告了这样一例病例,该患者最初的临床表现和检查结果提示为卵巢囊肿,外科医生接诊了该患者。随后患者被转诊至妇科医生处进行进一步治疗。尽管术前进行了广泛的检查,但诊断仅在手术时才得以明确。

结论

对于出现右下腹包块且临床特征不提示妇科病变的女性患者,鉴别诊断时应考虑阑尾来源。

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本文引用的文献

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Diagnosis and management of appendiceal mucoceles.
Dig Dis. 1998 May-Jun;16(3):183-6. doi: 10.1159/000016863.
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Mucocele of the appendix: ultrasonographic and CT findings.阑尾黏液囊肿:超声及CT表现
Abdom Imaging. 1998 May-Jun;23(3):292-6. doi: 10.1007/s002619900343.
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Mucocele of the appendix and pseudomyxoma peritonei.阑尾黏液囊肿与腹膜假黏液瘤
AJR Am J Roentgenol. 1985 May;144(5):923-9. doi: 10.2214/ajr.144.5.923.
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Ultrasonographic features of mucocele of the appendix.阑尾黏液囊肿的超声特征。
J Clin Ultrasound. 1988 Oct;16(8):584-7. doi: 10.1002/jcu.1870160810.
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The volcano sign of appendiceal mucocele.阑尾黏液囊肿的火山口征。
Gastrointest Endosc. 1989 Sep-Oct;35(5):453-6. doi: 10.1016/s0016-5107(89)72860-1.

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