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阑尾黏液囊肿:一例病例报告及文献综述

Mucocele of the Appendix: A Case Report and Review of Literature.

作者信息

Khan Arshadullah, AlSubaie Renad S, Almohammed Saleh Ali A

机构信息

Oncology and Breast Oncoplastic Surgery, Al Ahsa Hospital, Al-Hofuf, SAU.

Medicine, King Faisal University, Al-Hofuf, SAU.

出版信息

Cureus. 2023 Jun 9;15(6):e40168. doi: 10.7759/cureus.40168. eCollection 2023 Jun.

Abstract

An appendiceal mucocele is a rare disease characterized by the dilation of the appendix lumen with mucus accumulation. Although this disease is often found incidentally during appendectomy, it is crucial to differentiate it from acute appendicitis preoperatively to select adequate surgical management. We present a case of a 31-year-old male, medically free, with right-sided abdominal pain associated with nausea and vomiting. He was diagnosed with appendiceal mucocele and underwent laparoscopic appendectomy. The absence of a distinct clinical presentation and biochemical parameters necessitates a comprehensive and collaborative diagnostic approach for mucocele of the appendix. Achieving an accurate diagnosis prior to surgery is imperative to ensure the appropriate surgical technique is chosen, thereby minimizing the risk of serious intraoperative and postoperative complications such as pseudomyxoma peritonei.

摘要

阑尾黏液囊肿是一种罕见疾病,其特征为阑尾腔扩张并伴有黏液积聚。尽管这种疾病常在阑尾切除术中偶然发现,但术前将其与急性阑尾炎区分开来对于选择合适的手术治疗至关重要。我们报告一例31岁男性病例,该患者无基础疾病,出现右侧腹痛并伴有恶心和呕吐。他被诊断为阑尾黏液囊肿并接受了腹腔镜阑尾切除术。阑尾黏液囊肿缺乏独特的临床表现和生化指标,因此需要采用全面且协作的诊断方法。术前进行准确诊断对于确保选择合适的手术技术至关重要,从而将诸如腹膜假黏液瘤等严重术中及术后并发症的风险降至最低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c490/10329778/ba1e4a5526fd/cureus-0015-00000040168-i01.jpg

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