Schmauss A K, Krüger W, Bahrmann E, Werner U, Knauer H
Zentralbl Chir. 1976;101(8):458-64.
In 895 patients operated on for acute appendicitis we found Yersinia enterocolitica in 41 cases. Another two cases were detected in postoperative serological examinations. Lymphadenitis mesenterialis was present in 17 cases during operation. Once we detected a regional enteritis. Histological examination of the appendix revealed a purulent inflammation in 21 cases and a phlegmonous-gangrenous inflammation in 4 cases. The other 18 patients suffered from Oxyuriasis, coprostasis or scars of the appendix. For this reason it is impossible to exclude an acute appendicitis in patients with cultural or serological identification of Yersinia enterocolitica.
在895例接受急性阑尾炎手术的患者中,我们发现41例存在小肠结肠炎耶尔森菌。另外2例是在术后血清学检查中检测到的。手术过程中17例存在肠系膜淋巴结炎。有一次我们检测到一例局限性肠炎。阑尾的组织学检查显示21例为脓性炎症,4例为蜂窝织炎性坏疽性炎症。其他18例患者患有蛲虫病、便秘或阑尾瘢痕。因此,对于经培养或血清学鉴定为小肠结肠炎耶尔森菌的患者,无法排除急性阑尾炎。