巨大阑尾黏液囊肿：一例报道与诊疗分析.docVIP

Asian Case Reports in Oncology 亚洲肿瘤科病例报告, 2012, 1, 1-3 /10.12677/acrpo.2012.11001 Published Online July 2012 (/journal/acrpo) Gigantic Appendiceal Mucocele: A Case Report and Analysis of Diagnosis and Treatment Zhanwei Wang, Pengfei Wang, Zengrong Jia, Xiuling Wu, Shaoliang Han * Department of General Surgery, The First Affiliated Hospital of Wenzhou Medical College, Wenzhou * Email: slhan88@ Received: Jul. 4th, 2012; revised: Jul. 18th, 2012; accepted: Jul. 23rd, 2012 Abstract: A 63-year old female complained of right lower abdominal mass for 3 months, and she was admitted to hos- pital with a diagnosis colon tumor. On physical examination, an abdominal mass was found in her right quadrant, sized in 13 cm × 8 cm × 6 cm, hard, movable with clear margin. Laboratory examination revealed that Hb 12.4 g/L, CEA 5.4 μg/L, CA125 24.4 U/mL, CA153 U/mL and CA19-9 2.0 U/mL. A cord-like cystic mass in right abdominal cavity, primitive impression of gastrointestinal tumor, was detected by ultrasound examination, and CT scan demonstrated that a cystic occupation in right pelvic cavity, and exophytic tumor at cecum was found by fibrocolonoscopy. An exploratory laparotomy underwent by epidural anesthesia, a sausage-like tumor with size of 15 cm × 8 cm × 5 cm was seen at right abdominal cavity, and a diagnosis of appendiceal mucocele was made by intraoperative frozen pathological examination, then an appendectomy was performed, ad the patient recovered smoothly after operation and discharged on the 4th op- eration day. Keywords: Appendix; Mucocele; Surgery 巨大阑尾黏液囊肿：一例报道与诊疗分析 王战伟，王鹏飞，贾曾荣，吴秀玲，韩少良* 温州医学院附属第一医院普外科，温州 Email: slhan88@ * 收稿日期：2012年 7月 4日；修回日期：2012年 7月 18日；录用日期：2012年 7月 23日 摘 要：患者女，63岁，主诉右下腹部肿块 3个月，门诊以结肠肿物收入院。查体在右下腹部触及 13 cm × 8 cm × 6 cm 大小包块、质硬、活动、边界欠清。实验室检查：Hb 12.4 g/L、CEA 5.4 μg/L、CA125 24.4 U/mL、CA153 9.6 U/mL及 CA19-9 2.0 U/mL。B超检查示下腹部条索状囊性包块(首先考虑肠道来源)；腹部 CT扫描示盆腔 右侧囊性占位性病变；结肠镜检查示回盲部外压性肿物。连硬麻醉下行剖腹探查，术中见右下腹部有一个 15 cm × 8 cm ×