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阑尾切除术后复发性腹痛——1例罕见病例

Recurrent abdominal pain post appendectomy--a rare case.

作者信息

Cama Jitoko K

机构信息

Department of Medical Science, Fiji School of Medicine, Suva.

出版信息

Pac Health Dialog. 2010 Sep;16(2):78-81.

Abstract

Right iliac fossa pain in young adults who have previously had an appendicectomy represents a diagnostic challenge. In such cases it is important to review the histology of the appendix and the previous operation notes. The appendix stump, if left long following an appendectomy, can result in chronic appendicitis of the stump, or it can rarely develop into a mucocele. This case report describes a patient with an appendix stump mucocele who presented with chronic pain under the right iliac fossa incision and was successfully treated by laparoscopic resection.

摘要

既往有阑尾切除术史的年轻成年人出现右下腹疼痛是一项诊断挑战。在这种情况下,回顾阑尾的组织学检查结果和之前的手术记录很重要。阑尾切除术后若阑尾残端留得过长,可导致残端慢性阑尾炎,或极少情况下发展为黏液囊肿。本病例报告描述了一名患有阑尾残端黏液囊肿的患者,其在右下腹切口处出现慢性疼痛,并通过腹腔镜切除术成功治愈。

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