<症例>腹膜垂炎の経験

概要

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A 23 year old woman was seized with an attack of pain in epigastrium a day before entering the hospital. The pain gradually shifted to the right lower quadrant of the abdomen without nausea and vomiting. She also had Grave's disease, for which she was untreated. Physical examination revealed a well developed obese woman with pulse rate 120 and body temperature 37.4℃. Direct and rebound tenderness was elicited at Mcburney's point. No masses or organs were palpable. Although WBC was 7,500 with 37% neutrophils, a diagnosis of acute appendicitis was made. Under spinal anesthesia, the abdominal cavity was entered through a right pararectal skin incision. Acute inflammatory change of epiploic appendage of the cecum was noted and it was excised after ligation of its base. The vermiform appendix was normal, but was removed in the usual manner. The patient made an uneventful recovery. Pathological examination revealed inflammation of the epiploic appendage infiltrated with numerous polymorphonuclear leucocytes. The diagnosis was epiploic appendagitis.
近畿大学の論文
1981-06-25