Travis John R, Weppner Justin L, Paugh James C
Unity Surgical Associates, Fairfax, VA 22030, USA.
J Pediatr Surg. 2008 Sep;43(9):1726-8. doi: 10.1016/j.jpedsurg.2008.04.023.
Although the finding of appendiceal duplication is uncommon, its misdiagnosis and mismanagement may yield poor clinical outcomes and serious medicolegal consequences. Laparoscopic surgical exploration was performed on a 17-year-old male patient with right lower quadrant pain and a history of a previous appendectomy. Inspection of the cecum revealed a second appendix, which was retrocecal, ruptured, and gangrenous. Appendiceal duplication should be considered in all cases of lower abdominal pain, and careful inspection of the cecum for appendiceal anomalies should be performed. The Cave-Wallbridge classification system will be presented to assist surgeons in diagnosing appendiceal duplications.
尽管阑尾重复畸形的发现并不常见，但其误诊和处理不当可能导致不良的临床结局及严重的医疗法律后果。对一名17岁右下腹痛且有阑尾切除史的男性患者进行了腹腔镜手术探查。检查盲肠时发现了第二个阑尾，该阑尾位于盲肠后，已破裂且坏疽。对于所有下腹痛病例均应考虑阑尾重复畸形，并且应仔细检查盲肠以寻找阑尾异常。将介绍Cave-Wallbridge分类系统以协助外科医生诊断阑尾重复畸形。
