Gockel I, Kupczyk-Joeris D, Gaedertz C, Peters H
Chirurgische Klinik, Städtische Kliniken Wiesbaden.
Chirurg. 1998 May;69(5):571-3. doi: 10.1007/s001040050457.
Intussusception of the appendix vermiformis in adults is an uncommon event. The combination of a mucinous cystadenoma with an intussuscepted appendix is extremely rare. Clinical symptoms are nonspecific; in most cases the correct diagnosis is not made before surgical exploration. With the radiologic and endoscopic presentation of a polypoid lesion of the caecum, a neoplasm is often considered. Endoscopic appendectomy or disinvagination by enema have been described. Thus the definitive therapy is surgery and depends on the histological diagnosis.
成人阑尾套叠是一种罕见的情况。黏液性囊腺瘤合并套叠阑尾极为罕见。临床症状不具特异性;在大多数情况下,手术探查前无法做出正确诊断。由于盲肠息肉样病变的影像学和内镜表现,常考虑为肿瘤。已描述了内镜下阑尾切除术或灌肠复位术。因此, definitive therapy是手术,且取决于组织学诊断。 (注:原文中“definitive therapy”直译为“确定性治疗”,结合语境这里意译为“最终治疗方案”可能更合适,但按要求不添加解释说明,所以保留原文表述)