Lentini G, Sini R, Lacarbonara V, Bellando Randone P
Divisione di Chirurgia Generale, USL TA-2, Regione Puglia, Ospedale Civile Pagliari, Massafra Taranto.
Minerva Chir. 1997 Mar;52(3):281-2.
The authors report a case of anomalous appendicular implantation observed in a 17-year-old male. The appendix was not found in its usual site, but upon the antero-lateral wall of ascending colon, 15 cm from the junction of the taenia of caecum. A partial mobilization of caecum was required for appendectomy. By a review of recent bibliography this anomaly seems very unusual considering the poor number of reports in literature. The anatomy and embryology of the vermiform appendix are briefly presented, and at the same time the possible pathogenetic hypothesis of this anomaly, such as described by other colleagues. The authors underscore how, knowledge of another case report, in their experience, suggested to search for appendix in an unusual site, before concluding for an appendicular agenesis.
作者报告了一例在一名17岁男性中观察到的阑尾异常植入病例。阑尾未在其通常位置发现,而是位于升结肠前外侧壁,距盲肠结肠带交界处15厘米处。阑尾切除术需要对盲肠进行部分游离。通过回顾近期文献,考虑到文献中报告数量较少,这种异常似乎非常罕见。简要介绍了阑尾的解剖学和胚胎学,同时也介绍了其他同事所描述的这种异常可能的发病机制假说。作者强调,根据他们的经验,另一例病例报告的知识提示在诊断阑尾缺如之前,应在不寻常的部位寻找阑尾。