穿孔鱼骨导致的慢性阑尾炎：病例报告及文献复习。
Chronic Appendicitis Caused by a Perforating Fish Bone: Case Report and Brief Literature Review.
机构信息
Department of Surgery, Izumi General Medical Center, Kagoshima, Japan;
Department of Gastroenterological Surgery, Kumamoto University Graduate School of Medical Sciences, Kumamoto, Japan.
出版信息
In Vivo. 2022 Jul-Aug;36(4):1982-1985. doi: 10.21873/invivo.12922.
BACKGROUND
Appendicitis caused by a foreign body is extremely rare. We report a case of chronic appendicitis caused by a perforating fish bone.
CASE REPORT
The patient was a 50-year-old Japanese man. He felt dull lower abdominal pain for 2 months and diagnosed as appendicitis caused by a perforating fish bone. He underwent emergency laparoscopic surgery. The fish bone had perforated through the appendix wall. The fish bone was initially removed followed by laparoscopic appendectomy. Pathological investigation revealed a transmural cut line of approximately 0.5 mm that was surrounded by fibrous tissue with inflammation.
CONCLUSION
This is the first reported case of fish bone-induced chronic appendicitis that underwent laparoscopic appendectomy. For optimum outcome, a correct diagnosis based on a detailed consultation and imaging tests, and an operation performed after careful planning are needed.
背景
异物导致的阑尾炎极其罕见。我们报告一例由穿孔鱼刺引起的慢性阑尾炎。
病例报告
患者为 50 岁日本男性，因穿孔鱼刺导致阑尾炎，出现下腹钝痛 2 个月。诊断为阑尾炎后行急诊腹腔镜手术。鱼刺已穿透阑尾壁，首先取出鱼刺，然后行腹腔镜阑尾切除术。病理检查显示，鱼刺周围有一条约 0.5 毫米宽的贯穿性纤维组织炎症切迹。
结论
这是首例经腹腔镜阑尾切除治疗的鱼刺引起的慢性阑尾炎。为获得最佳疗效，需要基于详细的咨询和影像学检查做出正确诊断，并在仔细规划后进行手术。
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