医源性盲肠息肉：能否避免？
The iatrogenic caecal polyp: can it be avoided?
作者信息
Waterland Peter, Khan Faisal Shehzaad
机构信息
Department of Colo-rectal, Birmingham Heartlands Hospital, Birmingham, UK.
UHNS, Stoke on Trent, UK.
出版信息
BMJ Case Rep. 2015 May 6;2015:bcr2015209378. doi: 10.1136/bcr-2015-209378.
Abstract
A 60-year-old farmer was admitted with symptoms and signs suggestive of appendicitis. The diagnosis was confirmed at open appendicectomy where the appendix base was ligated and inverted into the caecum with a purse-string suture. Following an uneventful recovery and discharge, a barium enema identified a 2 cm filling defect in the caecal pole. A subsequent colonoscopy revealed only a tiny sessile polyp in the caecum with histology demonstrating normal colonic mucosa. This case report discusses the rare occurrence of an inverted appendix stump mimicking caecal pathology and the rationale of post-appendicectomy colonic investigation in the elderly patient.
摘要
一名60岁的农民因出现提示阑尾炎的症状和体征入院。在开放性阑尾切除术中确诊，术中阑尾根部结扎并用荷包缝合法将阑尾残端翻入盲肠。术后恢复顺利并出院，之后的钡灌肠检查发现盲肠极有一个2厘米的充盈缺损。随后的结肠镜检查仅发现盲肠有一个微小的无蒂息肉，组织学检查显示结肠黏膜正常。本病例报告讨论了罕见的阑尾残端倒置模仿盲肠病变的情况以及老年患者阑尾切除术后进行结肠检查的基本原理。
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