Gurbuz A T, Muckleroy S K, Davis-Merritt D
Department of General Surgery, Saint Joseph Hospital Medical Center, Denver, Colorado, USA.
Am Surg. 1996 May;62(5):407-8.
Acute appendicitis is the most common cause of an acute surgical abdomen. The authors present the first case of simultaneous acute appendicitis in monozygotic twins in the English literature and the fifth case reported in the world literature. Twin sisters, whose homozygosity is proven by DNA testing, presented with symptoms of acute appendicitis within 16 hours of each other. Both had acute appendicitis, one with free intraperitoneal perforation. These cases are presented, the world literature reviewed, and possible etiologic factors are discussed.
急性阑尾炎是急性外科急腹症最常见的病因。作者报告了英文文献中首例单卵双胞胎同时患急性阑尾炎的病例，也是世界文献中报道的第五例。经DNA检测证实为纯合子的双胞胎姐妹，在相隔16小时内先后出现急性阑尾炎症状。两人均患急性阑尾炎，其中一人伴有腹腔内游离穿孔。本文展示了这些病例，回顾了世界文献，并讨论了可能的病因。
