一名成年患者出现阑尾重复畸形。
Duplication of the vermiform appendix in an adult patient.
作者信息
Lim K H
机构信息
Kyungpook National University Hospital, Daegu, Korea.
出版信息
Ann R Coll Surg Engl. 2014 Jul;96(5):e16-7. doi: 10.1308/003588414X13946184900246.
Duplication of the appendix is extremely rare. A 69-year-old woman was admitted with a 2-day history of right lower quadrant abdominal pain. Physical examination was consistent with acute appendicitis. Ultrasonography and colonoscopy gave a clinical impression of an inflammatory appendiceal mucocoele. Operative findings were an enlarged and inflamed appendix with distal cystic changes. Laparoscopic wedge resection of the caecum was performed. A tubular structure with a true lumen was found in the appendix. Haematoxylin and eosin staining and trichrome staining showed both structures had a true mucosa and a muscular layer. The duplication in this case does not belong to any of the previously described types of duplication.
阑尾重复极为罕见。一名69岁女性因右下腹痛2天入院。体格检查与急性阑尾炎相符。超声检查和结肠镜检查提示为炎性阑尾黏液囊肿。手术所见为阑尾肿大且发炎，远端有囊性改变。行腹腔镜盲肠楔形切除术。在阑尾中发现一个有真腔的管状结构。苏木精-伊红染色和三色染色显示两个结构均有真黏膜和肌层。本例的重复不属于先前描述的任何一种重复类型。
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