一例2型阑尾憩室穿孔病例及文献复习
A case of Type 2 appendiceal diverticulum perforated and a review of the literature.
作者信息
Fiordaliso Michele, De Marco Antonia Flavia, Costantini Raffaele
机构信息
Department of Surgery, Erbach General Hospital, Germany.
Department of Gastroenterology, Groß Umstadt General Hospital, Germany.
出版信息
Int J Surg Case Rep. 2020;77:450-453. doi: 10.1016/j.ijscr.2020.10.114. Epub 2020 Nov 10.
BACKGROUND
Appendiceal diverticulosis disease is a rare entity. An perforated appendiceal diverticulosis mimicking acute appendicitis is a extremely unusual surgical finding and the reported prevalence is between 0.014 and 3.7%.
CASE REPORT
We report the case of an elderly man, who presented with a typical clinical image of acute appendicitis and underwent laparoscopic surgery. Intraoperative an acute appendicitis with localized peritonitis was identified and a laparoscopic appendectomy was performed, but pathologic analysis demonstrated a type 2 appendiceal diverticulitis.
CONCLUSION
Appendiceal diverticulosis disease should be included in differential diagnosis of patients presenting with clinical signs of an acute appendicitis and prompt surgical treatment is essential in order to avoid severe complications.
背景
阑尾憩室病是一种罕见疾病。穿孔性阑尾憩室病酷似急性阑尾炎是一种极为不寻常的外科发现，报告的患病率在0.014%至3.7%之间。
病例报告
我们报告一例老年男性病例，其表现为典型的急性阑尾炎临床症状并接受了腹腔镜手术。术中发现急性阑尾炎伴局限性腹膜炎，遂行腹腔镜阑尾切除术，但病理分析显示为2型阑尾憩室炎。
结论
阑尾憩室病应纳入具有急性阑尾炎临床体征患者的鉴别诊断，及时手术治疗对于避免严重并发症至关重要。
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