Boyez M, Le Cudonnec B, Valette M
J Radiol. 1983 Nov;64(11):627-30.
Fecal concretions adherent to the caecal mucosa and an appendicular mucocele may present as a palpable mass in the right iliac fossa. The authors report a case of a young man with mucoviscidosis who presented with these two signs and they propose a non-invasive diagnostic approach consisting of a plain X-ray of the abdomen, an ultrasound examination and a hypertonic, hydrosoluble contrast enema. Fecal concretions do not produce any specific features on the plain X-ray or on ultrasound but they are seen as a constant filling defect on the contrast enema and they may be evacuated with this technique, thus avoiding the need for surgery. The mucocele is rarely calcified on the plain abdominal film and ultrasound reveals a liquid contents. It should be treated by limited excision of the appendix. The discovery of an appendicular mucocele at any age should lead to the investigation for mucoviscidosis.
附着于盲肠黏膜的粪石和阑尾黏液囊肿可能表现为右下腹可触及的肿块。作者报告了一例患有黏液黏稠症的年轻男性出现这两种体征的病例，并提出了一种非侵入性诊断方法，包括腹部平片、超声检查和高渗水溶性造影剂灌肠。粪石在腹部平片或超声上不会产生任何特异性表现，但在造影剂灌肠时表现为持续的充盈缺损，且可通过该技术排出，从而避免手术。黏液囊肿在腹部平片上很少钙化，超声显示为液性内容物。应通过阑尾有限切除进行治疗。在任何年龄发现阑尾黏液囊肿都应进行黏液黏稠症的检查。
