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阑尾憩室炎术前误诊为盲肠憩室炎。

Appendiceal Diverticulitis Mimics Cecal Diverticulitis Diagnosed Preoperatively.

作者信息

Pham Phu Cuong, Van Hoang Anh Thi, Hoang Van Trung, Hoang The Huan, Nguyen Duc Duy, Hoang Duc Thanh

机构信息

Department of General Surgery, Thien Hanh Hospital, Buon Ma Thuot, Vietnam.

Department of Radiology, Thien Hanh Hospital, Buon Ma Thuot, Vietnam.

出版信息

Clin Pathol. 2024 Apr 19;17:2632010X241248909. doi: 10.1177/2632010X241248909. eCollection 2024 Jan-Dec.

Abstract

Appendiceal diverticulitis is an uncommon condition that clinically resembles acute appendicitis. However, it is an incidental finding in histopathological studies and is rarely diagnosed preoperatively by imaging studies. In this article, we present the clinical and imaging findings of a male patient presenting with right upper quadrant pain with a preoperative imaging diagnosis of appendiceal diverticulitis. He underwent laparoscopic appendectomy and confirmed the diagnosis of appendiceal diverticulitis. This is a rare preoperative diagnosis. The management is often like typical appendicitis which is appendectomy. It is important to differentiate it from diverticulitis of the small intestine or colon because these diseases usually require only conservative treatment.

摘要

阑尾憩室炎是一种临床症状类似急性阑尾炎的罕见病症。然而,它在组织病理学研究中是偶然发现,术前通过影像学检查很少能确诊。在本文中,我们呈现了一名男性患者的临床及影像学表现,该患者以右上腹疼痛为主诉,术前影像学诊断为阑尾憩室炎。他接受了腹腔镜阑尾切除术,术后确诊为阑尾憩室炎。这是一例罕见的术前诊断病例。其治疗方式通常与典型阑尾炎一样,即进行阑尾切除术。将其与小肠或结肠憩室炎相鉴别很重要,因为这些疾病通常仅需保守治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc27/11032055/7417b4584ccf/10.1177_2632010X241248909-fig1.jpg

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