Acute phlegmonous appendicitis with deciduosis: a case report and literature review

被引:0
作者
Shimogawa, Takuya [1 ,2 ]
Yamao, Takanobu [2 ]
Daitoku, Nobuya [2 ]
Nagayasu, Mayumi [3 ]
Koita, Hiroyuki [3 ]
Kuramoto, Kunitaka [2 ]
机构
[1] Kumamoto Univ, Grad Sch Med Sci, Dept Gastroenterol Surg, 1-1-1 Honjo, Kumamoto 8608556, Japan
[2] Natl Hosp Org Miyakonojo Med Ctr, Dept Surg, 5033-1 Iwayoshi Cho, Miyakonojo, Miyazaki 8850014, Japan
[3] Natl Hosp Org Miyakonojo Med Ctr, Dept Diagnost Pathol, 5033-1 Iwayoshi Cho, Miyakonojo, Miyazaki 8850014, Japan
关键词
acute appendicitis; decidual membrane; decidualization; appendiceal endometriosis; emergency surgery;
D O I
10.1093/jscr/rjaf375
中图分类号
R61 [外科手术学];
学科分类号
摘要
Acute appendicitis is a common disease in pregnancy that is often difficult to diagnose. However, delayed diagnosis may have a negative impact on the pregnant woman and the fetus. In this report, we present the case of a 34-year-old pregnant woman with acute appendicitis. The appendicitis was diagnosed based on her abdominal symptoms, but it was difficult to diagnose based on preoperative imaging studies. Pathological examination led to the diagnosis of appendiceal decidua. Acute appendicitis due to appendiceal decidua is extremely rare and has only been described in a few case reports. It is difficult to diagnose appendiceal decidua from imaging findings. When a pregnant woman is diagnosed with acute abdomen, clinicians should consider appendiceal decidua as one of the causes of acute appendicitis.
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页数:4
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