| Asymptomatic early acute appendicitis initiated and diagnosed during colonoscopy： A case report |
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| 作者姓名： | Petro M Minocha A |
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| 作者单位： | Division of Digestive Diseases University of Mississippi Medical Center Jackson MS 39216 USA,Division of Digestive Diseases University of Mississippi Medical Center Jackson MS 39216 USA |
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| 摘 要： | Colonoscopic diagnosis of asymptomatic early acute appendicitis is exceedingly rare. Although obstruction of the lumen due to various causes is believed to be the most common physiologic mechanism of acute appendicitis, all of the previously documented cases in the literature have only shown a patent appendiceal lumen with pus flowing into the cecum. We present the case of a patient undergoing colonoscopy for colorectal cancer evaluation with no abdominal symptoms. An obstructed, swollen appendix was seen. The process was probably initiated during the colonoscopy, documenting perhaps the earliest stage of acute appendicitis for the first time. Endoscopic, CT and microscopic documentation of the case is also presented.
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| 关 键 词： | 急性阑尾炎 临床表现 结肠镜检查 病例报告 |
| 收稿时间： | 2005 Jan 21 |
Asymptomatic early acute appendicitis initiated and diagnosed during colonoscopy: a case report |
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| Petro M,Minocha A.Asymptomatic early acute appendicitis initiated and diagnosed during colonoscopy: a case report[J].World Journal of Gastroenterology,2005,11(34):5398-5400. |
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| Authors: | Petro Michelle Minocha Anil |
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| Institution: | Division of Digestive Diseases, University of Mississippi Medical Center, Jackson, MS 39216, USA |
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| Abstract: | Colonoscopic diagnosis of asymptomatic early acute appendicitis is exceedingly rare. Although obstruction of the lumen due to various causes is believed to be the most common physiologic mechanism of acute appendicitis, all of the previously documented cases in the literature have only shown a patent appendiceal lumen with pus flowing into the cecum. We present the case of a patient undergoing colonoscopy for colorectal cancer evaluation with no abdominal symptoms. An obstructed, swollen appendix was seen. The process was probably initiated during the colonoscopy, documenting perhaps the earliest stage of acute appendicitis for the first time. Endoscopic, CT and microscopic documentation of the case is also presented. |
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| Keywords: | Colonoscopy Appendicitis Complications Endoscopy |
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