Vijayagopal Kesav Aditya, Khan Natasha, Newton Richard C
General Surgery, University Hospital Sussex National Health Service (NHS) Foundation Trust, Chichester, GBR.
Surgery, University Hospital Sussex National Health Service (NHS) Foundation Trust, Chichester, GBR.
Cureus. 2024 Sep 30;16(9):e70582. doi: 10.7759/cureus.70582. eCollection 2024 Sep.
Acute appendicitis is a common acute general surgical presentation; however, variants in the appendicular anatomy and the presence of cancers can complicate the surgical management of this condition. Appendiceal diverticula (AD) are rare pathological outpouchings along the appendix body. These outpouchings complicate and obscure the surgical planes, making adequate surgical resection of the appendix difficult. We report here the surgical management of a rare case of AD with a benign neuroma that highlights the importance of adequate pre-operative planning and variations in the standard anatomy. Through the literature review, the association of AD with cancers arising from the appendix is also presented.
急性阑尾炎是常见的普通外科急症表现；然而，阑尾解剖结构的变异以及癌症的存在会使该病的手术治疗复杂化。阑尾憩室（AD）是沿阑尾体部罕见的病理性袋状膨出。这些袋状膨出使手术层面变得复杂且模糊，导致阑尾难以进行充分的手术切除。我们在此报告一例罕见的伴有良性神经瘤的阑尾憩室的手术治疗情况，该病例凸显了充分术前规划以及标准解剖结构变异的重要性。通过文献回顾，还介绍了阑尾憩室与阑尾来源癌症的关联。
