Fabri P J, Carey L C
J Clin Gastroenterol. 1980 Jun;2(2):173-4. doi: 10.1097/00004836-198006000-00013.
Carcinoma of the colon in a 39-year-old woman which caused obstruction and inflammation of the appendiceal lumen remained undetected until postappendectomy complications prompted reevaluation and appropriate surgical intervention. Malignant lesions of the colon, especially the right side, are occurring with increasing frequency in young persons, and delay in recognition and definitive treatment is responsible for poor survival. A high index of suspicion in patients with atypical presentation of appendicitis or unusual operative findings should provide an opportunity for early diagnosis of underlying carcinoma.
一名39岁女性的结肠癌导致阑尾腔梗阻和炎症，直到阑尾切除术后出现并发症促使重新评估并进行适当的手术干预，才被发现。结肠恶性病变，尤其是右侧病变，在年轻人中出现的频率越来越高，而识别和确定性治疗的延迟导致了较差的生存率。对于阑尾炎表现不典型或手术发现异常的患者，高度怀疑应能为早期诊断潜在的癌症提供机会。
