Endo Yuichi, Matsumoto Toshifumi, Oki Eiji, Kusumoto Tetsuya, Yoshikawa Koji, Kitano Seigo
Department of Surgery and Clinical Research Institute, National Hospital Organization Beppu Medical Center.
Nihon Shokakibyo Gakkai Zasshi. 2011 Sep;108(9):1566-70.
A 50-year-old woman who was given a diagnosis of acute appendicitis was referred to our hospital. Because an abdominal enhanced CT revealed a dilated and cystic lesion in the appendix, operation was performed under the diagnosis of the suspicion of acute appendicitis or appendiceal mucocele. We performed laparoscopic cecal resection because of the intraoperative diagnosis of intussusception of the appendix. On the resected specimen, an elevated lesion was identified near the base of appendix. Histopathologically it was shown to be a true diverticulum in which the proper muscle layer are intact. To the best of our knowledge, this is the first report of true diverticulosis of the appendix with intussusception in the Japanese literature.
一名被诊断为急性阑尾炎的50岁女性被转诊至我院。由于腹部增强CT显示阑尾有一个扩张的囊性病变，因此在怀疑为急性阑尾炎或阑尾黏液囊肿的诊断下进行了手术。由于术中诊断为阑尾套叠，我们进行了腹腔镜盲肠切除术。在切除的标本上，阑尾根部附近发现一个隆起病变。组织病理学显示这是一个真性憩室，其中固有肌层完整。据我们所知，这是日本文献中首例伴有套叠的阑尾真性憩室病的报告。
