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妊娠期急腹症:阑尾蜕膜样变——病例报告

Acute abdomen during pregnancy: appendicular deciduosis-a case report.

作者信息

Ghannouchi Mossaab, Nacef Karim, KHlifa Mohamed Ben, Iyed Kraim, Boudokhan Moez, Toumi Dhekra, Zoukar Olfa

机构信息

Department of Surgery, Tahar Sfar Hospital, Mahdia, Tunisia.

Department of Gynecology and Obstetrics, Centre de Maternité et Néonatalogie Monastir, Tunisia.

出版信息

J Surg Case Rep. 2021 Oct 20;2021(10):rjab477. doi: 10.1093/jscr/rjab477. eCollection 2021 Oct.

Abstract

Despite the fact that it is rarely found in the appendix during pregnancy, ectopic decidua can, in some cases, cause the occlusion of the appendicular lumen by extrinsic compression due to the expansion of endometrial tissue or due to decidua polyp formation. This condition consequently leads to appendicular inflammation. We report the case of a 27-year-old primigravida woman, 32 weeks of gestation, who presented to our facility with a 2-day history of isolated right iliac fossa pain. The diagnosis of an acute appendicitis was suspected and a planned appendectomy was performed. Microscopical examination showed appendicular deciduosis.

摘要

尽管异位蜕膜在孕期很少出现在阑尾中,但在某些情况下,由于子宫内膜组织扩张或蜕膜息肉形成,异位蜕膜可通过外部压迫导致阑尾腔阻塞。这种情况进而会引发阑尾炎症。我们报告一例27岁初产妇,妊娠32周,因孤立性右下腹疼痛2天前来我院就诊。怀疑为急性阑尾炎并计划行阑尾切除术。显微镜检查显示阑尾蜕膜样变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8afd/8531246/109edcbf0cc9/rjab477f1.jpg

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