Omental Cyst Connected to Stomach Mimicking Acute Appendicitis: Report of a Case

連接胃的網膜囊腫以類似急性闌尾炎表現：病例報告

張文演(Wen-Yen Chang) ； 許競文(Ching-Wen Hsu) ； 孔文清(Wen-Ching Kong) ； 錢尚道(Shang-Tao Chien)

《Formosan Journal of Surgery》 44卷3期 (2011/06) Pp. 112-116

https://doi.org/10.29833/FJS.201106.0005

摘要

網膜囊腫是種罕見的疾病且很難在術前診斷，它們最常在兒童身上發現或因其他疾病接受剖腹手術時意外發現，網膜囊腫通常沒有症狀；腹脹、隱約的腹痛、嘔吐及伴隨著可摸到或無法摸到的腫塊是臨床上常見的症狀，完整的手術切除是治療最好的選擇，預後也相當好。我們報告一位24歲男性因連接胃的網膜囊腫造成右下腹痛與發燒，診斷爲急性闌尾炎並安排腹腔鏡闌尾切除術，手術中發現一個連接著胃的發炎性網膜囊腫，我們改成剖腹手術將囊腫完整切除，術後病患恢復良好且於手術後第7天出院。

並列摘要

Omental cysts are rare and difficult to diagnose preoperatively. They are most frequently discovered in children or as an incidental finding during laparotomy for another condition. The omental cyst is usually asymptomatic; abdominal distention, vague abdominal pain, and vomiting are the usual clinical symptoms, and there may be a palpable mass. Complete surgical excision is the treatment of choice and prognosis is excellent if the resection is complete. We present a case of an omental cyst arising from the stomach in a 24-year-old male who presented with right lower quadrant abdominal pain and fever. A laparoscopic appendectomy was performed under the impression of acute appendicitis. During the operation, an infected omental cyst arising from the stomach was noted. We converted the laparoscopic procedure to laparotomy and the cyst was resected completely. The patient had an uneventful postoperative course and was discharged on the 7(superscript th) postoperative day.

並列關鍵字

omental cyst ； appendicitis