10 cases of the coexistence of acute appendicitis on the right colon cancer misdiagnosis（共存的10例急性阑尾炎误诊右侧结肠癌）.docVIP

10 cases of the coexistence of acute appendicitis on the right colon cancer misdiagnosis [Keywords:] colon cancer, appendicitis, acute, misdiagnosis 1 clinical data Hospital Surgery 1984 06/2005 12 admitted right colon cancer coexist with acute appendicitis (6 males and 4 females) patients, aged 28 to 85 (average 56.5 years old. Typical metastatic right lower abdominal pain, persistent abdominal pain 3 cases, with nausea, vomiting, six cases, fever, diarrhea, two cases of right lower quadrant mass hit three cases. the recent change in bowel habits, stool frequency increased, weight loss and fatigue of two cases. B ultrasonic examination revealed right lower quadrant is not homogeneous dark area, expansion of two cases surrounding the intestine. admission diagnosis of acute appendicitis, appendiceal abscess in three cases in this group are due to the diagnosis of acute appendicitis, appendicitis, abscess underwent surgery intraoperative findings of inflammation of the appendix has a different degree, of which only appendicitis in two cases, three cases of suppurative appendicitis, gangrenous appendicitis, two cases of tumor with appendicitis line to a right half of the intestinal colon resection in 7 cases the right side of the incision line probe 2 cases of abdominal incision, Maxwell incision of five cases. tumor coexist Mai’s incision to change the right of exploration abdominal incision to complete surgical tumor in the ileocecal five cases, two cases of ascending colon, hepatic flexure of the colon. two cases were due to right lower quadrant pain, tenderness, and palpable and intraoperative findings inflammatory mass, the diagnosis of appendiceal abscess, intraoperative findings ileocecal stiff, frozen sections of block speed, cut disease reported as mucinous adenocarcinoma, for a right hemicolectomy. persistence of patients were discharged from abdominal pain, stool frequency increase associated with mucus, after 1 mo found incomplete intestinal obstruc