Moonen Hanneke P F X, Spaargaren Gert Jan, Ponfoort Erik D
Ziekenhuis Gelderse Vallei, afd. Chirurgie, Ede.
Contact: Hanneke P.F.X. Moonen (
Ned Tijdschr Geneeskd. 2022 Jan 11;166:D6328.
A 59-year-old woman presented with right-sided abdominal pain. Ultrasound was suggestive of acute appendicitis. Laparoscopy showed inflammation of a solitary caecal diverticulum, a rare congenital malformation. Uncomplicated caecal diverticulitis can mimic appendicitis clinically and sonographically, but does not require surgical intervention. An additional CT-scan can clarify the diagnosis.
一名59岁女性因右侧腹痛就诊。超声检查提示急性阑尾炎。腹腔镜检查显示一个孤立的盲肠憩室发炎,这是一种罕见的先天性畸形。单纯性盲肠憩室炎在临床和超声检查上可酷似阑尾炎,但不需要手术干预。进一步的CT扫描可明确诊断。