Department of Abdominal Surgery, Clinique Notre Dame de Grâce, Chaussée de Nivelles, Gosselies, Belgium.
Department of Pathology, Clinique Universitaires Saint-Luc, Avenue Hippocrate, Brussels, Belgium.
Pan Afr Med J. 2020 Dec 7;37:316. doi: 10.11604/pamj.2020.37.316.26728. eCollection 2020.
Appendectomy is the most common non-obstetric surgical intervention in pregnant patients. In rare cases, deciduosis can develop during pregnancy in the appendix and cause inflammation through appendiceal occlusion by ectopic decidua tissue. We report a 28-year-old woman at 32 weeks of pregnancy, who presented at the emergency room with the diagnosis of an acute appendicitis. After successful appendectomy and histopathological examination of the appendectomy specimen, a diagnosis of appendiceal deciduosis with acute appendicitis was established. Here, we discuss the origin of appendiceal deciduosis, as well as its clinical and histopathological presentation.
阑尾切除术是孕妇最常见的非产科手术干预措施。在极少数情况下，妊娠期间阑尾可发生蜕膜组织异位而出现蜕膜化生，并通过异位蜕膜组织导致阑尾阻塞而引起炎症。我们报告了一位 28 岁的女性，她在妊娠 32 周时因急性阑尾炎被诊断为急诊。在成功进行阑尾切除术后，并对阑尾切除标本进行组织病理学检查后，诊断为阑尾蜕膜化生伴急性阑尾炎。在此，我们讨论了阑尾蜕膜化生的起源，以及其临床表现和组织病理学表现。
