Williamson W A, Bush R D, Williams L F
Am J Surg. 1981 Apr;141(4):507-9. doi: 10.1016/0002-9610(81)90149-5.
The clinical presentation of 105 cases of retrocecal appendicitis was reviewed. Thirty-six percent of the patients had the classic appendicitis scenario of periumbilical pain localizing to the right lower quadrant, accompanied by anorexia, nausea and vomiting, and tenderness and guarding in the right lower quadrant. The remaining 64 percent had subtle variations of this presentation. Retrocecal appendicitis did not have a distinctive clinical pattern in our series. Twelve of the 105 retrocecal appendices were also retroperitoneal. The diagnosis was delayed in four patients and two had flank pain. Five of the twelve appendices were either gangrenous or perforated. Although the number of patients is small, we conclude that the traditional type of retrocecal appendicitis can occur in the retroperitoneal subgroup but that his anatomic variation is infrequent. The incidence in our series was 2.5 percent.
回顾了105例盲肠后阑尾炎的临床表现。36%的患者具有典型的阑尾炎症状，即脐周疼痛转移至右下腹，伴有厌食、恶心和呕吐，以及右下腹压痛和肌卫。其余64%的患者症状有细微变化。在我们的系列病例中，盲肠后阑尾炎没有独特的临床模式。105例盲肠后阑尾中有12例也是腹膜后位。4例患者诊断延迟，2例有侧腹痛。12例阑尾中有5例为坏疽性或穿孔性。虽然患者数量较少，但我们得出结论，传统类型的盲肠后阑尾炎可发生于腹膜后亚组，但这种解剖变异并不常见。在我们的系列病例中发生率为2.5%。
