Finucci G, Bianchini M, Micheli P, Marconi A, Mastria C, Guayana G
UO Chirurgia Generale, USL N. 2, Ospedale Campo di Marte, Lucca.
Minerva Chir. 1997 Dec;52(12):1447-50.
Benign ulceration of the cecum is an uncommon lesion that was originally described by Cruveilhier in 1832. Etiology is unknown and symptomatology not pathognomonic. Pre-operative and intraoperative diagnosis is rare and difficult. Definitive diagnosis is usually obtained by histologic evaluation of the surgical specimen after a right hemicolectomy performed for a suspect of a neoplasm of the cecum. The authors present 7 cases of cecal ulcers and suggest that preoperative diagnosis may be due after a colonoscopy with biopsy. This examination may be performed only in that cases that appear without symptoms of acute abdomen. The authors suggest also to perform right hemicolectomy.
盲肠良性溃疡是一种罕见的病变,最初由克鲁维耶于1832年描述。病因不明,症状也不具有特异性。术前和术中诊断罕见且困难。对于疑似盲肠肿瘤的患者,通常在进行右半结肠切除术后,通过对手术标本进行组织学评估来获得明确诊断。作者报告了7例盲肠溃疡病例,并建议在结肠镜检查并活检后可进行术前诊断。仅在无急腹症症状的情况下可进行此项检查。作者还建议行右半结肠切除术。