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腹腔镜下阑尾套叠的部分盲肠切除术

Laparoscopic partial cecum resection in appendiceal intussusception.

作者信息

Zenger Serkan, Bilgiç Çağrı, Buğra Dursun

机构信息

VKV Amerikan Hastanesi, Genel Cerrahi Kliniği, İstanbul, Türkiye.

Koç Üniversitesi Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, İstanbul, Türkiye.

出版信息

Turk J Surg. 2018 Aug 28;35(1):74-77. doi: 10.5578/turkjsurg.3633. eCollection 2019 Mar.

Abstract

Appendiceal intussusception (AI) is a difficult disease to diagnose. Various features of the disease were analyzed in a 35-year-old female patient admitted with abdominal pain and diagnosed with AI. The diagnosis was made with colonoscopy and abdominal computed tomography. Laparoscopic partial cecum resection was performed. Pathology examination revealed foci of endometriosis externa, which infiltrated the muscular layer of the appendix. AI should be kept in mind in the differential diagnosis of recurrent abdominal pain. Colonoscopy is an indispensable examination for differential diagnosis. Laparoscopic partial cecum resection, preserving the ileocecal valve, is an appropriate treatment approach in irreducible cases that are not suspected to be malignant.

摘要

阑尾套叠(AI)是一种难以诊断的疾病。对一名因腹痛入院并被诊断为AI的35岁女性患者的该疾病的各种特征进行了分析。通过结肠镜检查和腹部计算机断层扫描做出诊断。进行了腹腔镜部分盲肠切除术。病理检查发现有外在子宫内膜异位病灶,其浸润了阑尾肌层。在反复腹痛的鉴别诊断中应考虑AI。结肠镜检查是鉴别诊断中不可或缺的检查。在不怀疑为恶性的不可复位病例中,保留回盲瓣的腹腔镜部分盲肠切除术是一种合适的治疗方法。

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