Appendicitis Coexisted with an Incidental Carcinoid Tumor

闌尾炎併有類癌瘤

蔡三元(San-Yuan Tsai) ； 周宜宏(Yi-Hong Chou) ； 劉正義(Cheng-Yi Liu) ； 刁翠美(Chui-Mei Tiu) ； 邱宏仁(Hong-Jen Chiou) ； 丘思穎(See-Ying Chiou) ； 蔡世豪(Shyh-Haw Tsai) ； 姜仁惠(Jen-Huey Chiang)

《中華放射線醫學雜誌》 28卷4期 (2003/08) Pp. 259-262

摘要

一位原本健康的52歲男性發生水性腹瀉，右下腹痛，白血球增加，紅血球沈降速率及C─反應蛋白質增加，但是沒有發燒。超音波掃描顯示右下腹部有一經壓迫而不變形的厚壁管狀構造，連接於盲腸的內側壁，其橫切面呈靶狀，外圍直徑為8×9mm，雖然臨床症狀與典型的盲腸炎稍異，但其超音波表徵與盲腸炎相吻合。手術中發現闌尾末端有穿孔，併有周圍膿瘍。病理報告顯示該穿孔部位有類癌侵及黏膜層；黏膜下層及部份的肌肉層，漿膜層未被侵及。病人術後至今九年一切正常，並無其他腹部不適。

關鍵字

腹部急症 ； 超音波 ； 闌尾炎 ； 類癌 ； 闌尾

並列摘要

A previously healthy man suffered from watery diarrhea, right lower quadrant pain, leucocytosis, increased erythrocyte sedimentation rate and C-reactive protein level but without fever. Sonography of the right lower abdomen revealed a noncompressible thick-walled tubular structure with an atypical target pattern on short axis scan, attaching to the medial wall of the cecum. The outer diameter of this lesion was 8 × 9 mm. Sonographic appearance was suggestive of an inflamed appendix despite the clinical symptoms and signs were atypical. Appendectomy was performed and acute appendicitis with periappendiceal abscess was confirmed. Pathological study of the specimen revealed an incidental carcinoid tumor circumferentially involved the mucosa, submucosa and parts of the muscle layer.

並列關鍵字

Acute abdomen ； ultrasound ； Appendicitis ； Carcinoid tumor ； appendix