Cervini L, Premoli P, Guzzetti A
Chir Ital. 1983 Aug;35(4):570-6.
We report a case of eleven years old child with an acute lymphoblastic leukemia who developed an acute abdomen while in haematological relapse. He had an acute appendicitis with leukemic infiltration of the coecum. The early surgical intervention and the coecum irradiation were successful: the following chemiotherapy achieved remission. A more aggressive surgical approach to the acute abdomen, combined with careful supportive measures, might improve the usually grim prognosis in patient whose leukemia offers a chance for remission.
我们报告一例11岁急性淋巴细胞白血病患儿,在血液学复发期间出现急腹症。他患有急性阑尾炎,盲肠有白血病浸润。早期手术干预和盲肠放疗取得成功:随后的化疗实现了缓解。对于急腹症采用更积极的手术方法,并结合仔细的支持措施,可能会改善白血病有望缓解的患者通常严峻的预后。