2024-03-28T19:18:55Z
https://u-ryukyu.repo.nii.ac.jp/oai
oai:u-ryukyu.repo.nii.ac.jp:02015627
2022-10-31T07:41:26Z
1642838163960:1642838198944:1642838199408:1642838225771
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[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
A case report of diverticulitis of the vermiform appendix
高江洲, 享
知念, 順樹
伊禮, 聡子
村林, 亮
早坂, 研
上原, 忠司
金城, 泉
友利, 寛文
宮里, 浩
久高, 学
山里, 將仁
山城, 和也
大城, 健誠
川野, 幸志
久高, 弘志
輿儀, 實津夫
Takaesu, Toru
Chinen, Yoshiki
Irei, Satoko
Murabayashi, Ryou
Hayasaka, Ken
Uehara, Tadashi
Kinjou, Izumi
Tomori, Hirohumi
Miyazato, Hiroshi
Kudaka, Manabu
Yamazato, Masahito
Yamashiro, Kazuya
Ooshiro, Kensei
Kawano, Kouji
Kudaka, Hiroshi
Yogi, Mitsuo
open access
琉球医学会
diverticulitis of appendex
acute appendicitis
perforation
prophylactic appendectomy
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.
論文
琉球医学会
Ryukyu Medical Association
2009
jpn
journal article
VoR
http://hdl.handle.net/20.500.12000/0002015627
https://u-ryukyu.repo.nii.ac.jp/records/2015627
1346-888X
0289-1530
AN10369445
琉球医学会誌 = Ryukyu Medical Journal
28
1・2
31
33
https://u-ryukyu.repo.nii.ac.jp/record/2015627/files/v28p31.pdf