Yates L N
Calif Med. 1972 Jan;116(1):9-11.
Twenty-eight previously unreported cases of appendiceal diverticula were found in a 15-year retrospective review of records at five hospitals. The incidence is probably higher than is realized. Data drawn from the review indicated that the age of the patient and a history of previous attacks might be slight clues to distinguishing between diverticulum and acute appendicitis. Inflamed or not, rarely are these diverticula recognizable at the time of operation, but if the appendix is bulbous or club-shaped or there is increased thickening of the mesentery, the surgeon's suspicion should be aroused. In four of fourteen acute cases in the series, perforation had occurred-within 15 hours of the onset of symptoms in two cases. In four others there was abscess formation within the mesentery of the appendix.
在对五家医院记录进行的15年回顾性研究中，发现了28例此前未报告过的阑尾憩室病例。其发病率可能比人们意识到的要高。该回顾研究得出的数据表明，患者的年龄和既往发作史可能是区分憩室炎和急性阑尾炎的细微线索。无论是否发炎，这些憩室在手术时很少能被识别出来，但如果阑尾呈球状或棒状，或者肠系膜增厚加剧，外科医生就应引起怀疑。在该系列的14例急性病例中，有4例发生了穿孔，其中2例在症状出现后15小时内穿孔。另外4例在阑尾系膜内形成了脓肿。
