首例以阑尾残端炎形式出现的原发性阑尾结核。
First case of primary appendiceal tuberculosis presented as stump appendicitis.
作者信息
Mathew Midhun, Mathew Tony, Joseph Elizabeth
机构信息
Masters of Surgery in Surgical Science and Practice, Royal College of Surgeons in Ireland, Dublin 2 D02 YN77, Ireland.
Department of General Surgery, Believers Church Medical College Hospital, Thiruvalla, Kerala 689103, India.
出版信息
J Surg Case Rep. 2023 Jun 27;2023(6):rjad373. doi: 10.1093/jscr/rjad373. eCollection 2023 Jun.
Tuberculosis (TB) remains as a significant global public health issue, especially in developing and underdeveloped nations. Extrapulmonary TB comprises 20% of the TB cases; of which 34.4% were in the lymphatics, 25.2% pleural, followed by 12.8% gastrointestinal and 9.4% in the central nervous system. Ileocecal involvement is the most common among gastrointestinal TB. Although it can cause secondary damage to the appendix, primary type of appendicular TB is rare and can occur with no other signs of the disease. A high index of suspicion is necessary for early diagnosis and treatment of TB. Similarly, stump appendicitis (SA) is a rare and delayed complication of appendectomy. Here we report a case of primary appendicular TB in a patient presented to a multi-specialty hospital in Kerala, India, with SA.
结核病（TB）仍然是一个重大的全球公共卫生问题，尤其是在发展中国家和不发达国家。肺外结核占结核病病例的20%；其中34.4%发生在淋巴管，25.2%在胸膜，其次是12.8%在胃肠道，9.4%在中枢神经系统。回盲部受累是胃肠道结核中最常见的。虽然它可导致阑尾继发性损害，但原发性阑尾结核很少见，且可在无其他疾病体征的情况下发生。对于结核病的早期诊断和治疗，高度的怀疑指数是必要的。同样，残端阑尾炎（SA）是阑尾切除术后一种罕见的延迟并发症。在此，我们报告一例原发性阑尾结核患者的病例，该患者在印度喀拉拉邦的一家多专科医院就诊，患有残端阑尾炎。
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