analysis of right colon cancer combined with acute appendicitis（分析对结肠癌合并急性阑尾炎）.docVIP

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2017-09-05 发布于浙江
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analysis of right colon cancer combined with acute appendicitis（分析对结肠癌合并急性阑尾炎）.doc

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analysis of right colon cancer combined with acute appendicitis（分析对结肠癌合并急性阑尾炎）

Analysis of right colon cancer combined with acute appendicitis Acute appendicitis is a common surgery, ranking first in a variety of acute abdomen, but changing the condition of acute appendicitis, diagnosis is more difficult, while colon cancer is a common gastrointestinal cancer, often misdiagnosed. Now in our hospital in recent 8 years, the diagnosis of acute appendicitis complicated with right colon cancer after treatment of 16 cases reported as follows. Clinical data The group of 16 cases, 10 males and 6 females ranging in age from 18 to 68 years, mean 43 years of age. With typical metastatic right lower quadrant pain in 12 cases, right lower quadrant tenderness fixity in 14 patients, who have rebound tenderness 12 cases, palpation palpable mass in 4 cases. blood tests white blood cell more than 10 * 109 / L in 16 patients. B-ultrasound suggestive of appendiceal abscess in 4 cases. admission diagnosis of acute appendicitis in 12 cases, appendiceal abscess in 4 cases. 12 cases of acute appendicitis underwent emergency surgery, intraoperative findings appendix are varying degrees of inflammation, of which eight cases surgery immediately found the cecum or ascending colon cancer patients after appendectomy .3 persistent abdominal pain, and the emergence of mucus or bloody mucus, both after 3 months for barium enema radiography or colonoscopy examination revealed 1 case of ascending colon obstruction occurred in February after laparotomy .4 ascending colon found three cases of appendiceal abscess cases of anti-infection treatment 5 ~ 10d, pain relief, reduced mass is not obvious, the barium colonography to be re-diagnosed as colon cancer surgery, surgical pathology results for colon cancer and gangrenous appendicitis and 1 patient with abdominal pain symptoms disappear on their own to reduce or stop treatment and review, due to recurrent abdominal pain to our hospital and diagnosed. Tumor location and surgical approach: blind cancer in 9 cases, 6