Carvalho Nuno, Trindade Madalena, Barreira Ana Lúcia, Cismasiu Brigitta, Luz Carlos
Department of Surgery, Hospital Garcia de Orta, Almada, PRT.
Faculty of Medicine, University of Lisbon, Lisbon, PRT.
Cureus. 2025 Jul 9;17(7):e87628. doi: 10.7759/cureus.87628. eCollection 2025 Jul.
A 58-year-old male presented to the emergency department with a clinical picture compatible with an appendicular abscess, which was resolved with parenteral antibiotics. A colonoscopy showed mucus protruding through the appendicular lumen, compatible with the appendicular mucocele. A laparoscopic appendectomy was performed. Histology revealed serrated adenoma, luminal ,lymphoid hyperplasia, and features of chronic and acute inflammation of the appendix. This case is unique, as all these features, i.e., mucocele, serrated adenoma, and , are simultaneously present in complicated acute appendicitis.
一名58岁男性因临床表现符合阑尾脓肿而就诊于急诊科,经肠外抗生素治疗后病情缓解。结肠镜检查显示有黏液从阑尾腔突出,符合阑尾黏液囊肿。遂行腹腔镜阑尾切除术。组织学检查显示为锯齿状腺瘤、管腔内淋巴组织增生以及阑尾的急慢性炎症特征。该病例较为独特,因为在复杂性急性阑尾炎中同时存在所有这些特征,即黏液囊肿、锯齿状腺瘤等。