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首页> 美国卫生研究院文献>Clinical Endoscopy >A Case of Endoscopic Removal of a Giant Appendicolith Combined with Stump Appendicitis
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A Case of Endoscopic Removal of a Giant Appendicolith Combined with Stump Appendicitis

机译：内镜切除巨大阑尾炎合并残端性阑尾炎一例

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摘要

Stump appendicitis is an acute inflammation of the residual appendix and is a rare complication after appendectomy. The physician should be aware of the possibility of stump appendicitis in patients with right lower abdominal pain after appendectomy so that delayed diagnosis and treatment can be prevented. Stump appendicitis is usually treated by surgical resection, and endoscopic treatment has not been reported previously. A 48-year-old man who had undergone appendectomy 35 years earlier presented to the hospital because of right lower quadrant discomfort. A computed tomography scan showed a large stone in the residual appendix. Colonoscopic findings revealed a large, smooth, protruding lesion at the cecum with a stone inside the appendiceal orifice. Endoscopic removal after incision of the appendiceal orifice was performed successfully.
机译：残端性阑尾炎是残余阑尾的急性炎症，是阑尾切除术后罕见的并发症。医师应意识到阑尾切除术后右下腹疼痛患者发生残端性阑尾炎的可能性，以防止延迟诊断和治疗。残端性阑尾炎通常通过外科手术切除进行治疗，而内镜治疗以前尚未见报道。一名35年前接受阑尾切除术的48岁男子因右下腹不适而到医院就诊。计算机断层扫描显示残留的附件中有一块大石头。结肠镜检查发现盲肠大，光滑，突出的病变，阑尾孔内有一块石头。阑尾孔切开后内窥镜切除成功。

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