阑尾粘液瘤治疗的时间演变案例系列和文献综述

Priya Gupta, Vishakha Kalikar, Prasad Bhukebag, Roy Patankar
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摘要

阑尾粘液瘤的发生是由于阑尾管腔阻塞,导致管腔内粘液异常积聚,使阑尾外观增大,管壁变薄。术前临床诊断可能具有挑战性,因为该病的临床表现并不特殊c,也可能与急性阑尾炎相似。放射影像学检查对诊断至关重要。术前确诊后,手术治疗取决于阑尾基底的大小和完整性以及病变的组织学。手术过程中应注意避免阑尾内容物溢出腹腔,否则可能导致腹膜假性肌瘤(PP),预后极差。
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EVOLUTION OF MANAGEMENT OF MUCOCELE OF APPENDIX OVER TIMECASE SERIES AND REVIEW OF LITERATURE
Mucocele of the appendix occurs due to obstruction of lumen of appendix resulting in abnormal accumulation of mucous in the lumen, giving the appendix an enlarged appearance with thinned out wall. Preoperative clinical diagnosis may be challenging due to non-specic clinical manifestations of the disease or may mimic acute appendicitis. Radiological imaging is essential for diagnosis. When diagnosed preoperatively, it is always treated by surgery which depends on size and integrity of the appendix base and on the histology of the lesion. During surgery, care should be taken to avoid spillage of its contents into the abdomen which may lead to pseudomyxoma peritonei (PP), which has very poor prognosis.
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