Sakaguchi N, Ito M, Sano K, Baba T, Koyama M, Hotchi M
Department of Pathology, Shinshu University School of Medicine, Matsumoto, Japan.
Pathol Int. 1995 Oct;45(10):757-61. doi: 10.1111/j.1440-1827.1995.tb03393.x.
Three cases of intussusception of the appendix (IA) with distinctive pathologic changes were reported. All patients were women with different clinical presentations. Grossly, a complete intussusception was found in one case (case 1), while the others (cases 2 and 3) showed a partial intussusception. In case 1, almost the total segment of the appendix bearing the villous adenoma with focal malignant transformation became completely telescoped into the cecum. In case 2, no underlying appendiceal lesion was disclosed. In case 3, appendiceal endometriosis was found as the point of traction. Awareness of such a rare complication associated with various appendiceal lesions provides a clue for making an accurate diagnosis and selecting appropriate surgical management.
报告了3例具有独特病理变化的阑尾套叠（IA）病例。所有患者均为女性，临床表现各异。大体检查发现，1例（病例1）为完全性套叠，而其他2例（病例2和病例3）为部分性套叠。病例1中，几乎整个带有绒毛状腺瘤并伴有局灶性恶变的阑尾段完全套入盲肠。病例2中，未发现阑尾存在潜在病变。病例3中，发现阑尾子宫内膜异位症为牵引点。认识到这种与各种阑尾病变相关的罕见并发症，为准确诊断和选择合适的手术治疗提供了线索。
