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保守治疗在残端阑尾炎中的作用:病例系列。

Role of Conservative Management in Stump Appendicitis: A Case Series.

机构信息

Department of General and Laparoscopic Surgery, Nobel Medical College Teaching Hospital, Biratnagar, Morang, Nepal.

Department of Radiology, Nobel Medical College Teaching Hospital, Biratnagar, Morang, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2022 Sep 1;60(253):828-831. doi: 10.31729/jnma.7578.

Abstract

Stump appendicitis is a rare, delayed complication of appendectomy. It is seen following both open and laparoscopic appendectomy and may occur weeks to years following the initial appendectomy. We report two cases of stump appendicitis seen at our hospital. Both cases were diagnosed based on radiological findings and successfully managed conservatively with antibiotics. Although the usually recommended treatment for stump appendicitis is completion appendectomy, conservative management may be suitable for some patients. This report highlights the possibility of utilizing a conservative approach in the management of stump appendicitis compared to the recommended operative intervention. Awareness of the possibility of stump appendicitis is crucial for early diagnosis and treatment, to prevent potentially catastrophic complications.

摘要

残株阑尾炎是阑尾切除术后罕见的迟发性并发症。它可发生在开腹和腹腔镜阑尾切除术后,也可在初始阑尾切除术后数周到数年发生。我们报告了在我院就诊的两例残株阑尾炎病例。这两例均基于影像学发现进行诊断,并通过抗生素成功保守治疗。尽管通常推荐的残株阑尾炎治疗方法是完成阑尾切除术,但保守治疗可能适合某些患者。本报告强调了与推荐的手术干预相比,在残株阑尾炎的治疗中采用保守方法的可能性。认识到残株阑尾炎的可能性对于早期诊断和治疗至关重要,以防止潜在的灾难性并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cff6/9794943/c2297a8b2c4d/JNMA-60-253-828-g1.jpg

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