Department of Surgery, University of Nebraska Medical Center, Omaha, NE 68102, USA.
J Pediatr Surg. 2011 Aug;46(8):e43-4. doi: 10.1016/j.jpedsurg.2011.04.061.
Volvulus of the appendix is an uncommon phenomenon in children (J Can Med Assoc.1966;95:926-927). Only a few reports exist in the literature concerning this subject. We describe a 2-year-old child who presented with right lower quadrant abdominal pain and was initially diagnosed as ruptured appendicitis with abscess. Attempt at computed tomography-guided drainage failed to produce purulent drainage, and the child was taken to the operating room for diagnostic laparoscopy. Operative findings revealed a volvulus of the appendix, and a laparoscopic appendectomy was performed.
阑尾扭转在儿童中较为罕见(加拿大医学协会杂志。1966;95:926-927)。关于这个主题,文献中仅有少数报道。我们描述了一名 2 岁的儿童,他表现出右下腹痛,最初被诊断为阑尾破裂伴脓肿。尝试在计算机断层扫描引导下引流未能产生脓性引流,患儿被送往手术室进行诊断性腹腔镜检查。手术结果显示阑尾扭转,并进行了腹腔镜阑尾切除术。