Markey C Michele, Vestal Lauren E
University of Missouri-Kansas City School of Medicine, Kansas City, MO, USA.
Case Rep Obstet Gynecol. 2018 Feb 13;2018:6010568. doi: 10.1155/2018/6010568. eCollection 2018.
Autoamputation of the appendix has rarely been described in the literature. We present a case of a pelvic mass, thought to be a dermoid cyst based on preoperative imaging. After surgical removal and pathological examination, the mass was found to be a chronic pelvic abscess containing the right adnexa as well as an autoamputated vermiform appendix. Differentiating between gynecologic and gastrointestinal disease preoperatively can be difficult and often a definitive diagnosis cannot be made until surgical exploration and pathological review. However, to our knowledge, this is the first described case of a chronic pelvic abscess containing an autoamputated vermiform appendix.
阑尾自截在文献中鲜有描述。我们报告一例盆腔肿物病例，根据术前影像学检查考虑为皮样囊肿。手术切除并经病理检查后，发现该肿物为慢性盆腔脓肿，其中包含右侧附件以及自截的阑尾。术前鉴别妇科疾病和胃肠道疾病可能具有难度，通常直到手术探查及病理检查后才能做出明确诊断。然而，据我们所知，这是首例有文献记载的包含自截阑尾的慢性盆腔脓肿病例。
