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腹腔镜检查时发现的阑尾巨大黏液囊肿在一名绝经后女性中表现为附件肿块:病例报告

Large mucocele of the appendix at laparoscopy presenting as an adnexal mass in a postmenopausal woman: a case report.

作者信息

Paladino Elvira, Bellantone Maria, Conway Francesca, Sesti Francesco, Piccione Emilio, Pietropolli Adalgisa

机构信息

School of Medicine, Academic Department of Biomedicine & Prevention and Clinical Department of Surgery, Section of Gynecology and Obstetrics, Tor Vergata University Hospital, Viale Oxford 81, 00133 Rome, Italy.

出版信息

Case Rep Obstet Gynecol. 2014;2014:486078. doi: 10.1155/2014/486078. Epub 2014 Apr 6.

DOI:10.1155/2014/486078
PMID:24804128
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3997859/
Abstract

A 79-year-old female was referred to our Gynecologic Department presenting with a pelvic magnetic resonance imaging (MRI), showing an adnexal mass, later confirmed at the pelvic examination. The patient's routine laboratory tests were normal. A sonographic examination was performed with inconclusive results. Although the ultrasonography excluded the presence of vascularization and malignant degeneration, the adnexal localization appeared to be dubious. The laparoscopy and the subsequent histologic examination revealed the presence of a mucocele of the appendix. The following case report focuses the attention on a misdiagnosis of appendiceal mucocele. The misdiagnosis caused no negative impact on the treatment that in this case was adequate and successful.

摘要

一名79岁女性因盆腔磁共振成像(MRI)显示附件肿块被转诊至我院妇科,随后盆腔检查确诊。患者的常规实验室检查结果正常。进行了超声检查,但结果不明确。尽管超声检查排除了血管化和恶性病变的存在,但附件定位似乎存疑。腹腔镜检查及随后的组织学检查显示存在阑尾黏液囊肿。以下病例报告重点关注阑尾黏液囊肿的误诊情况。该误诊对治疗未造成负面影响,此病例的治疗是充分且成功的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9522/3997859/d068cf98db99/CRIOG2014-486078.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9522/3997859/3ab14c85c32f/CRIOG2014-486078.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9522/3997859/d068cf98db99/CRIOG2014-486078.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9522/3997859/3ab14c85c32f/CRIOG2014-486078.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9522/3997859/d068cf98db99/CRIOG2014-486078.002.jpg

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Endometrial adenocarcinoma and mucocele of the appendix: an unusual coexistence.子宫内膜腺癌与阑尾黏液囊肿:一种罕见的并存情况。
Case Rep Obstet Gynecol. 2013;2013:892378. doi: 10.1155/2013/892378. Epub 2013 May 16.
3
Mucocele of the appendix: case report and review of literature.阑尾黏液囊肿:病例报告及文献综述
Mucocele of the appendix presenting as an exacerbated chronic tubo-ovarian abscess: A case report and comprehensive review of the literature.
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Medicine (Baltimore). 2019 Sep;98(39):e17149. doi: 10.1097/MD.0000000000017149.
Int Surg. 2012 Jul-Sep;97(3):266-9. doi: 10.9738/CC139.1.
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Ann Ital Chir. 2012 Jul-Aug;83(4):359-62.
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