结肠镜检查时偶然发现化脓性阑尾炎。

An Incidental Finding of Suppurative Appendicitis During Colonoscopy.

作者信息

Idris Ayat, Al Shamousi Khalid, Alwassief Ahmed, Al Zadjali Adil, Laszczak Katarzyna

机构信息

Gastroenterotolgy Unit, Department of Medicine, Sultan Qaboos University Hospital, Muscat, OMN.

General Surgery, Sultan Qaboos University Hospital, Muscat, OMN.

出版信息

Cureus. 2023 Aug 8;15(8):e43159. doi: 10.7759/cureus.43159. eCollection 2023 Aug.

DOI:10.7759/cureus.43159

PMID:37692612

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10484503/

Abstract

Colonoscopic diagnosis of acute appendicitis is extremely rare. Although a few appendicitis cases were reported in literature following colonoscopy, we present a case today of a patient who underwent elective colonoscopy for colorectal cancer screening. The presence of an inflamed appendiceal orifice with projecting pus was documented, and the patient was referred to the surgical team for intervention. Endoscopic and intra-operative results are also illustrated.

摘要

结肠镜诊断急性阑尾炎极为罕见。尽管文献中报道过少数结肠镜检查后发生阑尾炎的病例，但我们今天介绍一例因结直肠癌筛查而接受择期结肠镜检查的患者。记录显示存在阑尾开口发炎且有脓性分泌物突出，该患者被转至外科团队进行干预。文中还展示了内镜检查结果和术中结果。