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阑尾黏液囊肿急性扭转

Acute Torsion of Appendicular Mucocele.

作者信息

Ejtehadi Farshid, Brooks James, Ali Hebah Hassan, Vijay Vardhini

机构信息

Surgical Department, The Princess Alexandra Hospital, Harlow, UK.

The Michael Letcher Cellular Pathology Department, The Princess Alexandra Hospital NHS Trust, Harlow, UK.

出版信息

Case Rep Surg. 2017;2017:9409281. doi: 10.1155/2017/9409281. Epub 2017 Apr 27.

DOI:10.1155/2017/9409281
PMID:28536666
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5425843/
Abstract

We present the case of an 81-year-old man with a known appendicular mucocele who presented to the emergency department with acute abdominal pain. A CT scan showed a change in orientation of the previously seen ovoid mass with surrounding fat stranding suggesting torsion. An emergency laparotomy with appendicectomy and resection of the caecal pole was performed. We discuss the findings and histopathology.

摘要

我们报告一例81岁男性病例，该患者已知患有阑尾黏液囊肿，因急性腹痛就诊于急诊科。CT扫描显示先前可见的椭圆形肿块方向改变，周围脂肪条索状影提示扭转。遂行急诊剖腹探查术，进行阑尾切除术及盲肠极切除术。我们对检查结果和组织病理学进行讨论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1899/5425843/7268c5723db9/CRIS2017-9409281.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1899/5425843/e613ba3a2b17/CRIS2017-9409281.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1899/5425843/00ea27dd0df4/CRIS2017-9409281.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1899/5425843/9793bf669eeb/CRIS2017-9409281.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1899/5425843/326fc7f5b793/CRIS2017-9409281.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1899/5425843/7268c5723db9/CRIS2017-9409281.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1899/5425843/e613ba3a2b17/CRIS2017-9409281.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1899/5425843/00ea27dd0df4/CRIS2017-9409281.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1899/5425843/9793bf669eeb/CRIS2017-9409281.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1899/5425843/326fc7f5b793/CRIS2017-9409281.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1899/5425843/7268c5723db9/CRIS2017-9409281.005.jpg

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Appendiceal mucocele secondary to torsion in an asymptomatic patient.无症状患者因扭转继发的阑尾黏液囊肿。

本文引用的文献

1
Appendiceal mucocele: A diagnostic dilemma in differentiating malignant from benign lesions with CT.阑尾黏液囊肿：CT 鉴别良恶性病变的诊断难题。
AJR Am J Roentgenol. 2013 Oct;201(4):W590-5. doi: 10.2214/AJR.12.9260.
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Two cases of mucinous cystadenoma of the appendix successfully treated by laparoscopy.两例阑尾黏液性囊腺瘤经腹腔镜手术成功治疗。
Case Rep Gastroenterol. 2013 Jan;7(1):44-8. doi: 10.1159/000346299. Epub 2013 Jan 24.
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Mucinous neoplasms of the appendix: a current comprehensive clinicopathologic and imaging review.
J Surg Case Rep. 2019 Aug 14;2019(8):rjz241. doi: 10.1093/jscr/rjz241. eCollection 2019 Aug.
阑尾黏液性肿瘤：当前全面的临床病理和影像学复习。
Cancer Imaging. 2013 Feb 22;13(1):14-25. doi: 10.1102/1470-7330.2013.0003.
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Mucinous neoplasms of the appendix and peritoneum.阑尾和腹膜的黏液性肿瘤。
Arch Pathol Lab Med. 2011 Oct;135(10):1261-8. doi: 10.5858/arpa.2011-0034-RA.
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Sonographic appearance of a giant appendicular mucocele.巨大阑尾黏液囊肿的超声表现。
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Pseudomyxoma peritonei.腹膜假黏液瘤。
World J Gastrointest Oncol. 2010 Jan 15;2(1):44-50. doi: 10.4251/wjgo.v2.i1.44.
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Appendiceal mucinous neoplasms: controversial issues.阑尾黏液性肿瘤：争议问题。
Arch Pathol Lab Med. 2010 Jun;134(6):864-70. doi: 10.5858/134.6.864.
8
CT diagnosis of mucocele of the appendix in patients with acute appendicitis.急性阑尾炎患者阑尾黏液囊肿的CT诊断
AJR Am J Roentgenol. 2009 Mar;192(3):W103-10. doi: 10.2214/AJR.08.1572.
9
Appendiceal mucinous cystadenoma.阑尾黏液性囊腺瘤。
Radiographics. 2008 Sep-Oct;28(5):1524-7. doi: 10.1148/rg.285075160.
10
Appendiceal mucocoeles and pseudomyxoma peritonei.阑尾黏液囊肿和腹膜假黏液瘤。
World J Gastroenterol. 2007 Apr 28;13(16):2381-4. doi: 10.3748/wjg.v13.i16.2381.