Liang Hung-Hua, Huang Ming-Te, Wei Po-Li, Weu Wang, Lin Yun-Ho, Tiang Cheng, Chang Chun-Chao
Department of Surgery, Taipei Medical University Hospital, Taipei, Taiwan.
Am J Surg. 2009 Jun;197(6):e66-8. doi: 10.1016/j.amjsurg.2008.04.024. Epub 2009 Feb 27.
Appendiceal intussusception is a rare entity that is difficult to diagnosis before surgery both clinically and radiologically. We report here a case of a 55-year-old woman with a 6-month history of right lower abdominal pain caused by appendiceal intussusception. Laparoscopic appendectomy was performed. Endometriosis foci were identified in the appendix tip and became the leading point of the appendiceal intussusception. The appendix was removed laparoscopically, which is the optimal treatment for such patients.
阑尾套叠是一种罕见的病症,在手术前无论是临床诊断还是放射学诊断都很困难。我们在此报告一例55岁女性患者,因阑尾套叠导致右下腹痛6个月。实施了腹腔镜阑尾切除术。在阑尾尖端发现了子宫内膜异位病灶,其成为阑尾套叠的起始点。通过腹腔镜切除了阑尾,这是此类患者的最佳治疗方法。