Waizbard E, Michowitz M, Baratz M, Papo J, Stavorovsky M
J Surg Oncol. 1984 Apr;25(4):263-7. doi: 10.1002/jso.2930250409.
Two unusual presentations of perforated mucoid adenocarcinoma of the appendix are described. One patient presented with a large periappendicular abscess that extended into the gluteal region, the other with a retroperitoneal abscess and abscesses in the right flank and groin. Recognition of the source of the abscess may be difficult but is essential for the prevention and elimination of the sepsis which may be life-threatening. The presence of mucin in the drained pus is highly suggestive for perforated bowel carcinoma. A high index of suspicion and the performance of prompt diagnostic procedures may bring early surgical treatment and better results.
本文描述了阑尾黏液腺癌穿孔的两种不寻常表现。一名患者表现为巨大的阑尾周围脓肿，脓肿延伸至臀区，另一名患者表现为腹膜后脓肿以及右侧腹和腹股沟区的脓肿。识别脓肿的来源可能很困难，但对于预防和消除可能危及生命的败血症至关重要。引流脓液中存在黏液高度提示肠穿孔癌。高度的怀疑指数以及及时进行诊断性检查可能带来早期手术治疗并取得更好的结果。
