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根据SCARE指南,摩洛哥马蹄形阑尾的首例病例报告。

First case report of horseshoe appendix in Morocco according according to SCARE guidelines.

作者信息

Jabi Rachid, Elmir Siham, Bouziane Mohammed

机构信息

Department of General Surgery, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Oujda, Morocco.

Laboratory of Anatomy, Microsurgery and Surgery Experimental and Medical Simulation (LAMCESM), Mohammed Ist University, Oujda, Morocco.

出版信息

Ann Med Surg (Lond). 2021 Sep 20;70:102870. doi: 10.1016/j.amsu.2021.102870. eCollection 2021 Oct.

Abstract

INTRODUCTION

The appendix duplication is a sporadic malformation in which the horseshoe form is the uncommon described variant. To our knowledge, we report the first Moroccan case of a horseshoe appendix in a girl admitted to managing of pain at the right iliac fossa.

CASE PRESENTATION

Through this article, we present a very rare case of appendicular duplication. It has not been objectified in radiological exploration and discovered by chance during the operation. Resection then closure of the appendicular bases allowed our patient to heal The objectives of this work is threefold: i) to report this sporadic case of horeshoe appendix, ii) to emphasize the importance of suspicion of appendicular duplication in appendicular syndrome and iii) to recommend the exploration of the ileoceacal region to avoid surgical complications and medicolegal problems

CONCLUSION

Our case report shows that we have to take into consideration this sporadic presentation of appendicular syndrome and this even in the absence of radiological signs. Our work brings enriched the literature by a new case of horseshoe appendicitis highlighting the importance of surgical treatment

摘要

引言

阑尾重复是一种散发性畸形,其中马蹄形是较少见的描述变体。据我们所知,我们报告了摩洛哥首例马蹄形阑尾病例,患者为一名女孩,因右髂窝疼痛入院治疗。

病例介绍

通过本文,我们呈现了一例极为罕见的阑尾重复病例。在放射学检查中未发现异常,而是在手术中偶然发现。切除并封闭阑尾根部后,患者得以康复。本研究的目的有三个:i)报告这例散发性马蹄形阑尾病例;ii)强调在阑尾综合征中怀疑阑尾重复的重要性;iii)建议探查回盲部区域以避免手术并发症和医疗法律问题。

结论

我们的病例报告表明,即使在没有放射学征象的情况下,也必须考虑到阑尾综合征的这种散发性表现。我们的工作通过一例新的马蹄形阑尾炎病例丰富了文献,突出了手术治疗的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75b6/8463815/386a9b0e2997/gr1.jpg

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