［症例報告］急性虫垂炎と術前診断して手術を行った虫垂憩室炎の1例

概要

論文の詳細を見る
A woman in her high teens was admitted to our hospital for lower right abdominal pain with nausea and vomiting as her chief complaints. Her body temperature was 36.2℃, and we found tenderness and rebound tenderness in the right lower abdomen. Laboratory data showed a WBC of 11100 /mm^3, CRP of 0.99 mg/dl, and an ultrasound showed an enlarged tip of the appendix, approximately 20-30mm in size. We diagnosed it as acute appendicitis, and then we performed an appendectomy. After the operation, we found that there were two diverticula at the appendix, and a pathological examination showed a pseudodiverticulum at the tip of appendix. Diffuse infiltration of neutrophil was seen at the site of the diverticulitis. Diverticulitis of the vermiform appendix is very similar to acute appendicitis, but it is important to note that the perforation rate of appendiceal diverticulitis is more frequent than that of acute appendicitis. Also, whether a prophylactic appendectomy of an appendiceal diverticula (accidentally found) is necessary or not is controversial, but we think that we had to explain how the perforation rate of appendiceal diverticulitis is more frequent than that of acute appendicitis to the patient.
琉球医学会,Ryukyu Medical Associationの論文