Santorek-Strumiłło Edyta, Brocki Marian
Klinika Chirurgii Klatki Piersiowej, Chirurgii Ogólnej i Onkologicznej, Uniwersytecki Szpital Kliniczny im. WAM w Łodzi.
Pol Merkur Lekarski. 2015 Jan;38(223):32-3.
Acute appendicitis can be the first symptom of the malignant tumour of the cecum. In the article we described case of 76 years old patient who came to the hospital on account pain in the right iliac hole, occurrent for 4 days with nausea and vomiting. Primarily patient classified to the appendectomy. The ultrasound examination showed the pathological mass in projection ileocecal valve and appendicitis. The computer tomography of the abdomen confirmed this diagnosis. The patient became classified to the right-sides hemicolectomy. The result of histopathological examination is adenocarcinoma of the ileocaecal valve and the appendicitis phlegmonous. Patient became classified to the adiuvant chemotherapy in the regional oncological centre.
急性阑尾炎可能是盲肠恶性肿瘤的首发症状。在本文中，我们描述了一名76岁患者的病例，该患者因右下腹疼痛4天伴恶心呕吐前来医院就诊。最初患者被安排进行阑尾切除术。超声检查显示回盲瓣投影处有病理肿块及阑尾炎。腹部计算机断层扫描证实了这一诊断。患者随后被安排进行右侧半结肠切除术。组织病理学检查结果为回盲瓣腺癌及蜂窝织炎性阑尾炎。患者在地区肿瘤中心接受辅助化疗。
