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阑尾内翻:一种诊断和治疗上的困境。

Appendiceal inversion: a diagnostic and therapeutic dilemma.

作者信息

Johnson Eric K, Arcila Maria E, Steele Scott R

机构信息

Department of Colorectal Surgery, Eisenhower Army Medical Center, Ft. Gordon, Georgia, USA.

出版信息

JSLS. 2009 Jan-Mar;13(1):92-5.

PMID:19366551
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3015910/
Abstract

Appendiceal inversion is an uncommon entity that presents a diagnostic dilemma for the gastroenterologist or surgeon. We present 2 cases that illustrate scenarios that may be encountered during colonoscopy. A discussion of the literature on this subject is also presented. An improved awareness of this condition will assist the endoscopist in the identification of this finding and direct the appropriate expectant management.

摘要

阑尾内翻是一种罕见的情况,给胃肠病学家或外科医生带来诊断难题。我们报告2例病例,说明结肠镜检查时可能遇到的情况。本文还对该主题的文献进行了讨论。提高对这种情况的认识将有助于内镜医师识别这一发现,并指导适当的观察性处理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20b0/3015910/a9fa4aa1cd90/jsls-13-1-92-g05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20b0/3015910/023033a9aabb/jsls-13-1-92-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20b0/3015910/d6c9252e7e48/jsls-13-1-92-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20b0/3015910/2bfc7109e89d/jsls-13-1-92-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20b0/3015910/1bdfe3a3c286/jsls-13-1-92-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20b0/3015910/a9fa4aa1cd90/jsls-13-1-92-g05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20b0/3015910/023033a9aabb/jsls-13-1-92-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20b0/3015910/d6c9252e7e48/jsls-13-1-92-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20b0/3015910/2bfc7109e89d/jsls-13-1-92-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20b0/3015910/1bdfe3a3c286/jsls-13-1-92-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20b0/3015910/a9fa4aa1cd90/jsls-13-1-92-g05.jpg

相似文献

1
Appendiceal inversion: a diagnostic and therapeutic dilemma.阑尾内翻:一种诊断和治疗上的困境。
JSLS. 2009 Jan-Mar;13(1):92-5.
2
Serrated adenoma of the inverted vermiform appendix showing a gigantic pedunculated polyp-like appearance.倒位阑尾的锯齿状腺瘤呈现出巨大的带蒂息肉样外观。
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引用本文的文献

1
Inverted appendix in a patient with colon cancer: a case report and long-term follow-up.一名结肠癌患者的倒置阑尾:病例报告及长期随访
J Surg Case Rep. 2023 Apr 22;2023(4):rjad206. doi: 10.1093/jscr/rjad206. eCollection 2023 Apr.
2
Appendiceal Inversion Presenting as a Cecal Polypoid Mass on Screening Colonoscopy: A Case Report and Review of Available Diagnostic Adjuncts to Differentiate Benign From Malignant Colorectal Pathology.筛查结肠镜检查时表现为盲肠息肉样肿物的阑尾内翻:一例病例报告及鉴别结直肠良恶性病变的现有诊断辅助手段综述
Cureus. 2023 Mar 1;15(3):e35645. doi: 10.7759/cureus.35645. eCollection 2023 Mar.
3

本文引用的文献

1
An unusual "tumor" of the cecum: the inverted appendiceal stump.盲肠的一种罕见“肿瘤”:倒置的阑尾残端。
Rom J Morphol Embryol. 2006;47(2):193-6.
2
Inverted appendiceal orifice masquerading as a cecal polyp on virtual colonoscopy.
Gastrointest Endosc. 2006 Feb;63(2):358. doi: 10.1016/j.gie.2005.08.028.
3
Inverted appendiceal stumps simulating large pedunculated polyps on screening CT colonography.在CT结肠成像筛查中,倒置的阑尾残端形似带蒂大息肉。
AJR Am J Roentgenol. 2006 Feb;186(2):535-8. doi: 10.2214/AJR.04.1791.
Inverted Appendix in a Patient With Weakness and Occult Bleeding.
一名伴有虚弱和隐匿性出血患者的倒置阑尾。
Fed Pract. 2022 May;39(5):232-236. doi: 10.12788/fp.0259. Epub 2022 May 13.
4
Colonoscopic Appearances of an Appendiceal Remnant: The Benign Masquerading as the Sinister.阑尾残端的结肠镜表现:良性伪装成恶性。
ACG Case Rep J. 2021 Aug 26;8(8):e00655. doi: 10.14309/crj.0000000000000655. eCollection 2021 Aug.
5
CT diagnosis of appendiceal intussusception in a middle-aged female.中年女性阑尾肠套叠的 CT 诊断。
J Radiol Case Rep. 2020 Jun 30;14(6):8-14. doi: 10.3941/jrcr.v14i6.3809. eCollection 2020 Jun.
6
An inverted appendix found on routine colonoscopy: A case report with discussion of imaging findings.常规结肠镜检查时发现的倒位阑尾:一例病例报告并讨论影像学表现
Radiol Case Rep. 2019 May 30;14(8):952-955. doi: 10.1016/j.radcr.2019.05.022. eCollection 2019 Aug.
7
The iatrogenic caecal polyp: can it be avoided?医源性盲肠息肉:能否避免?
BMJ Case Rep. 2015 May 6;2015:bcr2015209378. doi: 10.1136/bcr-2015-209378.
4
Inverted appendiceal orifice masquerading as a cecal polyp on virtual colonoscopy.
Gastrointest Endosc. 2005 Aug;62(2):308; discussion 308. doi: 10.1016/s0016-5107(05)00553-5.
5
Inverted appendix mistaken for a polyp during colonoscopy and leading to intussusception.结肠镜检查时倒置的阑尾被误诊为息肉并导致肠套叠。
J Cyst Fibros. 2005 Sep;4(3):203-4. doi: 10.1016/j.jcf.2005.03.002.
6
Adenoma and early stage adenocarcinoma of the appendix: diagnosis by colonoscopy.阑尾腺瘤及早期腺癌:结肠镜检查诊断
Gastrointest Endosc. 2004 May;59(6):731-3. doi: 10.1016/s0016-5107(04)00008-2.
7
Juvenile polyp emerging from the appendiceal orifice.
Gastrointest Endosc. 1999 Jun;49(6):759. doi: 10.1016/s0016-5107(99)70296-8.
8
Colonoscopic appearance of the remnant of the appendix after total inversion.
Endoscopy. 1982 Mar;14(2):66-8. doi: 10.1055/s-2007-1021581.
9
Intussusception of the appendix.阑尾套叠
Dis Colon Rectum. 1984 Jun;27(6):387-92. doi: 10.1007/BF02553007.
10
Appendicectomy: assessment of stump invagination versus simple ligation: a prospective, randomized trial.阑尾切除术:残端内翻与单纯结扎的评估:一项前瞻性随机试验。
Br J Surg. 1985 Dec;72(12):971-2. doi: 10.1002/bjs.1800721212.