Istanbul Education and Research Hospital, Department of General Surgery, Istanbul, Turkey.
World J Emerg Surg. 2010 Jan 18;5:2. doi: 10.1186/1749-7922-5-2.
Hemangiomas are the most common benign neoplasms affecting the liver. They occur at all ages. Most cases are asymptomatic and do not require any treatment. Rarely, hemangiomas can be pedunculated. If they undergo torsion and infarction, they become symptomatic. Herein; we report the case of a 31 year old male presenting with features of acute appendicitis: continuous right iliac fossa pain, rebound, guarding tenderness at McBurney' s point, nausea, anorexia, shifted white blood cell count and a Mantrels score of 6. At laparotomy a normal appendix was observed and a torsioned pedinculated liver hemangioma turned out to be the cause.
肝血管瘤是最常见的肝脏良性肿瘤，可发生于各年龄段。大多数病例无症状，无需治疗。极少数肝血管瘤呈息肉状。如果发生扭转和梗死，可出现症状。在此，我们报告 1 例 31 岁男性，表现为急性阑尾炎特征：持续右髂窝疼痛、反跳痛、麦氏点压痛、恶心、厌食、白细胞计数改变和曼特里斯评分 6 分。剖腹探查时发现阑尾正常，扭转的带蒂肝血管瘤是病因。
