Wijegoonewardene Sandeep Indika, Stein Joel, Cooke David, Tien Alan
Acute Surgical Unit, Department of Surgery, Fremantle Hospital, Fremantle, Western Australia, Australia.
BMJ Case Rep. 2012 Jun 28;2012:bcr0320126015. doi: 10.1136/bcr.03.2012.6015.
The authors present a case of a 30-year-old female who presented with symptoms and signs suggestive of appendicitis accompanied by elevated inflammatory markers. The patient was consented and taken to theatre for laparoscopic apendicectomy. At operation, the appendix was found to be normal but with surrounding turbid fluid in the right paracolic gutter and subhepatic space. On further inspection, a perforated pre pyloric ulcer was discovered. This was managed laparoscopically with a peritoneal lavage and falciform ligament patch repair. The patient made a good recovery and was discharged 2 days later. At 6 week follow-up the patient had an upper gastrointestinal (GI) endoscopy which showed complete healing of the ulcer. At 6 week follow-up the patient had an upper GI endoscopy which showed complete healing of the ulcer.
作者报告了一例30岁女性病例，该患者表现出提示阑尾炎的症状和体征，同时炎症标志物升高。患者签署知情同意书后被送往手术室进行腹腔镜阑尾切除术。手术中发现阑尾正常，但右结肠旁沟和肝下间隙有周围浑浊液体。进一步检查发现一个幽门前穿孔性溃疡。通过腹腔镜进行了腹腔灌洗和镰状韧带补片修复。患者恢复良好，两天后出院。在6周随访时，患者进行了上消化道内镜检查，结果显示溃疡完全愈合。在6周随访时，患者进行了上消化道内镜检查，结果显示溃疡完全愈合。
