Knipper A, Gebbers J O, Otto H F, Wurbs D
Zentralbl Chir. 1977;102(25):1577-81.
Intussusception of the vermiform appendix is reported in a frequency of 0.01%. Different aetiologic factors are implicated, a directed hyperperistalsis against intraluminal obstruction is thought to be the pathogenetic mechanism. There is a lack of typical symptoms, very often appendicitis or caecal tumor is diagnosed. Concomitant inflammation renders recognition more difficult. The caecum must be resected if a malignant tumour cannot be ruled out. Appendectomy is performed in definite findings. Our case report may remind of this uncommon occurrence.
阑尾套叠的报道频率为0.01%。涉及不同的病因因素,针对腔内梗阻的定向蠕动亢进被认为是发病机制。缺乏典型症状,常被诊断为阑尾炎或盲肠肿瘤。伴随的炎症使诊断更加困难。如果不能排除恶性肿瘤,则必须切除盲肠。确诊后行阑尾切除术。我们的病例报告可能会让人想起这种罕见的情况。