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阑尾蜕膜病:妊娠期急性腹痛的罕见病因(病例报告)。

Deciduosis of the appendix: a rare cause of acute abdomen during pregnancy (a case report).

机构信息

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.

出版信息

Pan Afr Med J. 2020 Dec 7;37:316. doi: 10.11604/pamj.2020.37.316.26728. eCollection 2020.

Abstract

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.

摘要

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。

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