Papp Zoltán, Petri István, Villányi Erzsébet, Tiszlavicz László, Ugocsai Gyula
Dr. Bugyi István Kórház Sebészeti Osztály Szentes Sima F. u. 44-58. 6600.
Orv Hetil. 2008 Feb 17;149(7):329-31. doi: 10.1556/OH.2008.28227.
Case history of a 29-years-old primigravida is reported, by whom in the 39th week of the pregnancy an acute caesarean section was performed for intrauterine fetal distress. On the 5th postoperative day symptoms of acute abdomen developed, with typical signs of an appendicitis. On emergency laparotomy a perforated processus vermiformis had been removed, displaying gangrenous inflammation. Histological examination of the removed tissue revealed deciduosis, involving all layers of the intestinal wall. The article is the first Hungarian report on deciduosis involving the appendix, and the first international paper reporting on an appendicectomy for deciduosis following caesarean section summarizes the origin, the signs and the therapeutical consequences of this rare diagnostic entity.
报告了一名29岁初产妇的病史，该产妇在妊娠第39周因宫内胎儿窘迫接受了急诊剖宫产。术后第5天出现急腹症症状，伴有典型的阑尾炎体征。急诊剖腹探查时切除了穿孔的阑尾，显示出坏疽性炎症。对切除组织的组织学检查发现有蜕膜样变，累及肠壁各层。本文是匈牙利关于阑尾蜕膜样变的首例报告，也是首例关于剖宫产术后因蜕膜样变行阑尾切除术的国际文献，总结了这种罕见诊断实体的起源、体征和治疗后果。
