Abedalqader Tala, Bakir Mohamad, AlJohani Fares, Altahan Talal, Amer Sadiq M, Almustanyir Sami
Medicine, Alfaisal University, Riyadh, SAU.
Internal Medicine, Prince Mohammed bin Abdulaziz Hospital, Riyadh, SAU.
Cureus. 2022 Mar 17;14(3):e23247. doi: 10.7759/cureus.23247. eCollection 2022 Mar.
Acute appendicitis is one of the most common surgical presentations seen in the emergency department, usually presenting as a case of fever, anorexia, and abdominal pain. Curative treatment is an appendectomy with histological examination of the surgical specimen to diagnose the subtypes or causes of appendicitis. One of these subtypes, granulomatous appendicitis, is an uncommon form of appendicitis. This condition can be caused by a multitude of mechanisms, including tuberculosis infections, parasitic infections, fungal infections, mechanical obstruction, or systemic diseases such as Crohn's disease, sarcoidosis, among others. Investigations and management should be tailored according to the histologic findings, and patient follow-up should be advised.
急性阑尾炎是急诊科最常见的外科病症之一，通常表现为发热、厌食和腹痛。根治性治疗是进行阑尾切除术，并对手术标本进行组织学检查，以诊断阑尾炎的亚型或病因。其中一种亚型，即肉芽肿性阑尾炎，是一种不常见的阑尾炎形式。这种情况可由多种机制引起，包括结核感染、寄生虫感染、真菌感染、机械性梗阻，或诸如克罗恩病、结节病等全身性疾病。应根据组织学检查结果进行相应的检查和处理，并建议对患者进行随访。
