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子宫内膜异位症所致阑尾套叠，表现为急性右下象限疼痛。

Appendiceal intussusception due to endometriosis presenting as acute right lower quadrant pain.

作者信息

O El Sadaney Ahmed, Sandhu Ariel D, Parvinian Ahmad, Nehra Avinash, Suman Garima

机构信息

Department of Radiology, Mayo Clinic, Rochester, MN, 55905, United States.

Department of Pathology, Mayo Clinic, Rochester, MN, 55905, United States.

出版信息

BJR Case Rep. 2024 Sep 4;10(5):uaae032. doi: 10.1093/bjrcr/uaae032. eCollection 2024 Sep.

DOI:10.1093/bjrcr/uaae032
PMID:39263000
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11387768/
Abstract

Appendiceal intussusception is a rare condition characterized by the telescoping or invagination of a portion or the entire appendix into the caecum or within the appendix itself. Diagnosing appendiceal intussusception can be challenging due to its rarity, non-specific symptoms, and lack of awareness among physicians. We present a case report of appendiceal intussusception caused by endometriosis presenting with recurrent abdominal pain in a young female that was initially missed on CT scan and laparoscopy and eventually diagnosed on CT enterography.

摘要

阑尾套叠是一种罕见的病症，其特征为部分或整个阑尾套入盲肠或阑尾自身内部。由于阑尾套叠罕见、症状不具特异性且医生对此认识不足，其诊断颇具挑战性。我们报告一例由子宫内膜异位症引起的阑尾套叠病例，该病例为一名年轻女性，反复出现腹痛，最初在CT扫描和腹腔镜检查中被漏诊，最终通过CT小肠造影得以确诊。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb18/11387768/7b6ff571edcd/uaae032f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb18/11387768/81b2ec587937/uaae032f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb18/11387768/b75493c5cece/uaae032f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb18/11387768/b74035ad682c/uaae032f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb18/11387768/7b6ff571edcd/uaae032f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb18/11387768/81b2ec587937/uaae032f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb18/11387768/b75493c5cece/uaae032f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb18/11387768/b74035ad682c/uaae032f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb18/11387768/7b6ff571edcd/uaae032f4.jpg

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本文引用的文献

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Appendiceal intussusception requiring an ileocecectomy: a case report and comment on the optimal surgery.需要行回盲部切除术的阑尾套叠：1例病例报告及关于最佳手术方式的评论
BMC Surg. 2018 Aug 1;18(1):48. doi: 10.1186/s12893-018-0380-9.
2
Appendiceal intussusception in the setting of ulcerative colitis.
J Surg Case Rep. 2018 Apr 3;2018(4):rjy044. doi: 10.1093/jscr/rjy044. eCollection 2018 Apr.
3
Intussusception of the appendix: comprehensive review of the literature.阑尾套叠：文献综述
Am J Surg. 2009 Jul;198(1):122-8. doi: 10.1016/j.amjsurg.2008.08.023. Epub 2009 Feb 27.
4
Colonoscopic diagnosis of appendiceal intussusception: case report and review of the literature.结肠镜诊断阑尾套叠：病例报告及文献复习
JSLS. 2005 Oct-Dec;9(4):488-90.
5
71,000 HUMAN APPENDIX SPECIMENS. A FINAL REPORT, SUMMARIZING FORTY YEARS' STUDY.71000份人类阑尾标本。一份总结四十年研究的最终报告。
Am J Proctol. 1963 Dec;14:265-81.