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阑尾子宫内膜异位症和类癌在妊娠期表现为急性阑尾炎:一例罕见病例报告及文献复习

Appendiceal endometriosis and carcinoid presented as acute appendicitis in pregnancy: a rare case report and review of the literature.

作者信息

Dimitriadis Panagiotis A, Makar Ragai R, Kingston Gearoid, Farouk Ridzuan

机构信息

General Surgery Department, Royal Berkshire Hospital, London Road, Reading RG1 5AN, UK.

出版信息

Case Rep Obstet Gynecol. 2013;2013:360459. doi: 10.1155/2013/360459. Epub 2013 Feb 27.

DOI:10.1155/2013/360459
PMID:23533862
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3600218/
Abstract

A 22-year-old pregnant woman presented at the twenty-seventh week of gestation in the Emergency Department with acute abdominal pain and right iliac fossa tenderness. Urgent MRI was done and was suggestive of acute appendicitis. A laparoscopy was performed that confirmed an inflamed and purulent appendix that was removed. The technique used is described in detail. The histopathologic findings were those of acute appendicitis, carcinoid, and endometriosis of the appendix. We report the first case of this extremely rare triad presented in pregnancy.

摘要

一名22岁的孕妇在妊娠第27周时因急性腹痛和右下腹压痛就诊于急诊科。紧急进行了磁共振成像(MRI)检查,提示为急性阑尾炎。随后进行了腹腔镜检查,证实阑尾发炎化脓并予以切除。详细描述了所采用的技术。组织病理学检查结果显示为急性阑尾炎、类癌和阑尾子宫内膜异位症。我们报告了首例妊娠期间出现这种极为罕见三联征的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a181/3600218/76f7943fd54e/CRIM.OBGYN2013-360459.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a181/3600218/b183c01100dd/CRIM.OBGYN2013-360459.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a181/3600218/81b624caa07a/CRIM.OBGYN2013-360459.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a181/3600218/76f7943fd54e/CRIM.OBGYN2013-360459.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a181/3600218/b183c01100dd/CRIM.OBGYN2013-360459.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a181/3600218/81b624caa07a/CRIM.OBGYN2013-360459.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a181/3600218/76f7943fd54e/CRIM.OBGYN2013-360459.003.jpg

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本文引用的文献

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Perforated endometrial appendicitis in pregnancy.妊娠期穿孔性子宫内膜阑尾炎
Hippokratia. 2012 Apr;16(2):181-3.
2
Surgery in the pregnant patient.孕妇的外科手术。
Clin Obstet Gynecol. 2011 Dec;54(4):633-41. doi: 10.1097/GRF.0b013e318236eb0d.
3
A rare pathological trinity: an appendiceal ectopic pregnancy, acute appendicitis and a carcinoid tumour.罕见的病理三联征:阑尾异位妊娠、急性阑尾炎和类癌瘤。
Ir J Med Sci. 2011 Jun;180(2):579-80. doi: 10.1007/s11845-009-0283-y. Epub 2009 Feb 6.
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Endometriosis of the vermiform appendix as an exceptional cause of acute perforated appendicitis during pregnancy.阑尾子宫内膜异位症作为妊娠期急性穿孔性阑尾炎的罕见病因。
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Appendiceal endometriosis presenting as acute appendicitis during pregnancy.妊娠期以急性阑尾炎表现的阑尾子宫内膜异位症。
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Endometriosis and the appendix: a case series and comprehensive review of the literature.子宫内膜异位症与阑尾:病例系列及文献综述
Fertil Steril. 2006 Aug;86(2):298-303. doi: 10.1016/j.fertnstert.2005.12.076. Epub 2006 Jul 7.
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Large carcinoid tumor of the appendix during pregnancy.妊娠期阑尾大类癌肿瘤
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Endometriosis of the appendix presenting as acute appendicitis.表现为急性阑尾炎的阑尾子宫内膜异位症。
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