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阑尾缺如作为急腹症术中的罕见发现:病例报告及文献复习

Appendicular agenesis as an unusual intraoperative finding in acute abdomen: Case report and literature review.

作者信息

Giron Felipe, Rey Chaves Carlos Eduardo, Rodríguez María Lina, Conde Danny, Venegas David, Arango Alberto

机构信息

Faculty of Medicine, Universidad del Rosario, Colombia; Faculty of Medicine, Universidad de los Andes, Bogotá, Colombia; Hospital Occidente de Kennedy, Colombia.

Faculty of Medicine, Universidad del Rosario, Colombia.

出版信息

Int J Surg Case Rep. 2022 Jan;90:106740. doi: 10.1016/j.ijscr.2021.106740. Epub 2021 Dec 29.

Abstract

INTRODUCTION

Appendicular agenesis is a rare condition that accounts for 1 of every 100,000 exploratory laparotomies, usually in clinical suspicion of appendiceal inflammatory processes with higher incidence in adults.

CLINICAL FINDINGS

We present a case of a 19-year-old female with appendicular agenesis who underwent exploratory laparoscopy in the context of appendiceal inflammatory process.

CONCLUSION

Vermiform appendix agenesis is a challenging diagnosis made in most cases as an intraoperatively finding. Systematic revision of abdominal cavity should be performed after ruling out other causes of acute abdomen. No implications have been described in patients with appendix abnormalities.

摘要

引言

阑尾缺如是一种罕见病症,在每100,000例剖腹探查术中约占1例,通常是在临床怀疑有阑尾炎症过程时发现,在成年人中发病率较高。

临床发现

我们报告一例19岁女性阑尾缺如病例,该患者在阑尾炎症过程中接受了腹腔镜探查术。

结论

阑尾缺如在大多数情况下是在术中发现的具有挑战性的诊断。在排除急腹症的其他病因后,应系统地检查腹腔。阑尾异常患者未发现有相关影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb22/8728466/f9268329668f/gr1.jpg

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