Davidson B R, Neoptolemos J P, Watkin D, Talbot I C
Department of Surgery, Leicester Royal Infirmary.
Gut. 1988 May;29(5):682-5. doi: 10.1136/gut.29.5.682.
A 63 year old Asian woman who presented with three week's abdominal pain was found to have a hard right iliac fossa mass and rectal ulceration. Profuse rectal bleeding necessitated a laparotomy. An inflammatory paracaecal mass with fistulae involving appendix, small bowel, and bladder was excised with exteriorisation of the bowel ends. Microscopy showed invasive amoebae. Re-anastomosis was successfully done after treatment with metronidazole and diloxanide. There are no previous reports of a paracaecal amoeboma with fistulae to either the appendix, or urinary bladder.
一名63岁的亚洲女性因腹痛三周就诊，发现右下腹有一坚硬肿块及直肠溃疡。大量直肠出血导致患者接受剖腹手术。术中切除了一个炎性盲肠旁肿块，该肿块伴有累及阑尾、小肠和膀胱的瘘管，肠管两端外置。显微镜检查显示有侵袭性阿米巴。经甲硝唑和地洛硝唑治疗后成功进行了再次吻合术。此前尚无盲肠旁阿米巴瘤合并阑尾或膀胱瘘的报道。
