[阑尾内翻及阑尾切除术后内翻]

[Appendicular invagination and post-appendectomy invagination].

作者信息

von Segesser L, Boymond P, Fiala J M, Widgren S, Mirescu D, Hauser H, Rohner A

出版信息

Schweiz Med Wochenschr. 1983 Mar 26;113(12):435-40.

Abstract

Intussusception of the appendix is an uncommon event (200 cases previously reported) and intussusception after appendicectomy is rare (20 cases previously published). Two recent cases are reported, the first with primary appendiceal intussusception and the second ileocolic intussusception after appendicectomy. In the second case the final pathology report revealed an intussuscepted caecal duplication responsible for the ileocolic intussusception. This event has not been previously reported. Symptomatology, investigation, classification, differential diagnosis and surgical tactics are discussed.

摘要

阑尾套叠是一种罕见的情况（此前报道过200例），阑尾切除术后发生套叠的情况则更为罕见（此前发表过20例）。本文报告了两例近期病例，第一例为原发性阑尾套叠，第二例为阑尾切除术后回结肠套叠。在第二例病例中，最终病理报告显示套叠的盲肠重复畸形是导致回结肠套叠的原因。这一情况此前尚未见报道。文中讨论了症状、检查、分类、鉴别诊断及手术策略。