Gok Mustafa, Sozuer Erdogan, Topal Ugur, Akyuz Muhammet, Bozkurt Gamze K, Hamurcu Merve, Deniz Kemal
Ann Ital Chir. 2020 Feb 10;9:S2239253X2003090X.
Appendix vermiformis agenesis is quite rare. It is seen in 1/100,000 of patients who underwent laparotomy with an initial diagnosis of appendicitis. A 72-year-old woman who had not undergone any previous surgery was operated on for mechanical intestinal obstruction. Right hemicolectomy was performed due to obstructive tumoral mass in the hepatic flexure. There was no appendix vermiformis in exploration. Before deciding on the diagnosis of appendix agenesis, a thorough and rigorous exploration should be performed in ileocecal region and ascending colon. In our case, the diagnosis of appendix agenesis was incidental. However, it should be kept in mind that appendix agenesis may be present in patients undergoing surgery with the diagnosis of acute appendicitis. KEY WORDS: Appendicular agenesis, Colorectal carsinoma, Congenital Abnormalities.
阑尾缺如非常罕见。在最初诊断为阑尾炎而接受剖腹手术的患者中，其发生率为十万分之一。一名72岁、此前未接受过任何手术的女性因机械性肠梗阻接受手术。由于肝曲部存在阻塞性肿瘤肿块，遂行右半结肠切除术。探查时未发现阑尾。在确定阑尾缺如的诊断之前，应在回盲部和升结肠进行全面、仔细的探查。在我们的病例中，阑尾缺如的诊断是偶然发现的。然而，应记住，在诊断为急性阑尾炎而接受手术的患者中可能存在阑尾缺如。关键词：阑尾缺如、结直肠癌、先天性异常
