虫垂憩室の5例  [in Japanese] DIVERTICULUM THE APPENDIX : A REPORT OF FIVE CASES  [in Japanese]

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Abstract

虫垂憩室は比較的稀な疾患であり,急性虫垂炎として手術され,術中,術後の検索で診断されることが多い.今回われわれは,急性虫垂炎と診断された4例と,上行結腸癌に合併した1例の虫垂憩室を経験したので報告する.症例1, 2は穿孔性虫垂炎による腹膜炎の診断にて開腹,症例3, 4は急性虫垂炎の診断にて手術を施行した. 4例とも術後切除標本にて虫垂憩室症と診断された.症例5は上行結腸癌に合併したものであり,術前の注腸検査にて診断され,手術を施行した.<br> 虫垂憩室炎は他の結腸憩室炎,虫垂炎に比較し,穿孔率が高く,無症状で発見された虫垂憩室についても手術を考慮する必要があると考えられた.

Diverticulum of the appendix is a relatively rare entity and is often diagnosed during or after surgery under preoperative diagnosis of acute appendicitis. This paper describes our experience with five cases of the disease, including four cases preoperatively diagnosed as acute appendicitis and one case associated with a cancer of the ascending colon.<br> Case 1 and 2 were operated on under a diagnosis of peritonitis due to perforated appendicitis. Case 3 and 4 were operated on under a diagnosis of acute appendicitis. These four cases were correctly diagnosed by resected specimens. The remaining case (case 5), associated with an ascending colon cancer, was diagnosed by barium enema examination before operation.<br> Appendiceal diverticulitis has a high risk of perforation compared to colonic diverticulitis or appendicitis. Even if diverticulum of the appendix is detected in an asymptomatic patient, surgical treatment is recommended.

Journal

  • The journal of the Japanese Practical Surgeon Society

    The journal of the Japanese Practical Surgeon Society 58(8), 1817-1821, 1997-08-25

    Japan Surgical Association

References:  15

Cited by:  2

Codes

  • NII Article ID (NAID)
    10008529555
  • NII NACSIS-CAT ID (NCID)
    AN00198696
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    03869776
  • Data Source
    CJP  CJPref  J-STAGE 
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