Betancourth-Alvarenga J E, Vázquez-Rueda F, Murcia-Pascual F J, Ayala-Montoro J
Unidad de Gestión Clínica de Cirugía Pediátrica, Hospital Universitario Reina Sofía, Córdoba, España.
Unidad de Gestión Clínica de Cirugía Pediátrica, Hospital Universitario Reina Sofía, Córdoba, España; Facultad de Medicina, Universidad de Córdoba, Córdoba, España.
An Pediatr (Barc). 2015 Jan;82(1):e56-9. doi: 10.1016/j.anpedi.2014.01.016. Epub 2014 Feb 22.
Appendiceal intussusception is a rare condition that can occur at any age. Only a few cases have been reported, and most are found during surgery. The therapeutic approach is usually surgical, ranging from an appendectomy to a hemicolectomy, primarily for biopsy and to rule out possible malignancy. Three cases of children under 14 years who underwent surgery for acute abdominal pain located in the right iliac fossa are presented; one with preoperative diagnosis by ultrasound, and the other two with positive intraoperative findings of intussusception of the cecal appendix, with acute appendicitis being histologically confirmed.
阑尾套叠是一种罕见的病症,可发生于任何年龄。仅有少数病例有报道,且大多是在手术中发现。治疗方法通常是手术治疗,从阑尾切除术到半结肠切除术不等,主要目的是进行活检并排除可能的恶性肿瘤。本文介绍了3例14岁以下因右下腹急性腹痛接受手术的儿童病例;1例术前经超声诊断,另外2例术中发现盲肠阑尾套叠阳性,组织学确诊为急性阑尾炎。