Symeonidou Elissavet, Gkoutziotis Ioannis, SidiropouIou Maria S, Gouta Chrysoula, Gianna Kalliopi, Mpallas Konstantinos
5th Department of Surgery, Ippokrateio General Hospital of Thessaloniki, Thessaloniki, GRC.
School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, GRC.
Cureus. 2024 Jul 24;16(7):e65252. doi: 10.7759/cureus.65252. eCollection 2024 Jul.
The protrusion of the appendix through a broad ligament defect suggests an extremely rare clinical entity, especially when the clinical manifestation of this condition is acute appendicitis. The current article presents a case of a 23-year-old female who presented to the emergency department with right lower abdominal pain and nausea, accompanied by elevated white blood cell count. Imaging performed, both ultrasound and computed tomography, reported acute appendicitis, without evidence of a broad ligament defect. During exploratory laparoscopy, the defect was identified, the appendix was retrieved and ligated and sutures were applied to the defect. The postoperative course of treatment was uneventful, and pathology confirmed inflammation of the appendix and also revealed a small neuroendocrine tumor. The value of emergency laparoscopy for the diagnosis of this rare condition and the therapeutic management which involves the closure of the defect to prevent future internal hernia are issues highlighted in this article.
阑尾通过阔韧带缺损处突出提示一种极其罕见的临床情况，尤其是当这种情况的临床表现为急性阑尾炎时。本文介绍了一例23岁女性患者，她因右下腹疼痛和恶心就诊于急诊科，白细胞计数升高。超声和计算机断层扫描等影像学检查报告为急性阑尾炎，未发现阔韧带缺损。在探查性腹腔镜检查中，发现了缺损，取出并结扎了阑尾，并对缺损处进行了缝合。术后治疗过程顺利，病理证实阑尾有炎症，还发现了一个小的神经内分泌肿瘤。本文强调了急诊腹腔镜检查对诊断这种罕见疾病的价值以及涉及闭合缺损以预防未来内疝的治疗管理。
