General Surgery, Guy's and St Thomas' NHS Foundation Trust, London, UK
General Surgery, Guy's and St Thomas' NHS Foundation Trust, London, UK.
BMJ Case Rep. 2021 May 10;14(5):e241926. doi: 10.1136/bcr-2021-241926.
We describe the case of a 31-year-old man who presented with a 3-day history of right iliac fossa pain with associated nausea and vomiting. He denied any previous incidents of abdominal pain and had no relevant medical history or family history to note. Given the typical history, examination findings of localised peritonism and infection risk, he was taken to theatre for laparoscopic appendicectomy without diagnostic imaging. Intraoperatively, we noted gut malrotation and an inflammatory jejunal mass which was resected after converting to a mini-laparotomy. The inflammatory mass was reported to be an ectopic pancreatic tissue from histology. Given that this patient had tested positive for SARS-CoV-2 on admission, we propose a possible case of SARS-CoV-2 infection triggering inflammation of the ectopic pancreatic tissue.
我们描述了一位 31 岁男性的病例，他因右髂窝疼痛伴恶心和呕吐就诊，病史为 3 天。他否认有过腹痛发作，也无相关的医疗或家族病史。鉴于典型的病史、局部腹膜炎的检查结果和感染风险，他在没有进行诊断性影像学检查的情况下被送往手术室进行腹腔镜阑尾切除术。术中，我们注意到肠道旋转不良和炎症性空肠肿块，随后转换为小切口进行了切除。炎症性肿块的组织学报告显示为异位胰腺组织。由于该患者入院时 SARS-CoV-2 检测呈阳性，我们提出一种可能的情况，即 SARS-CoV-2 感染引发了异位胰腺组织的炎症。
