Vzácné případy napodobující akutní apendicitidu: tři kazuistiky a přehled literatury

English version

Autoři: L. Kunovsky ¹; Z. Kala ¹; L. Mitas ¹; V. Can ¹; Jiří Dolina ² ; E. Nemcová ³; L. Klvacova ⁴; T. Gajdosova ⁵; I. Penka ¹
Působiště autorů: Department of Surgery, University Hospital Brno Bohunice, Faculty of Medicine, Masaryk University, Brno Head of Department: prof. Z. Kala, M. D., Ph. D. ¹; Department of Gastroenterology, University Hospital Brno Bohunice, Faculty of Medicine, Masaryk University, Brno Head of Department: prof. A. Hep, M. D., Ph. D. ²; Department of Radiology, University Hospital Brno Bohunice, Faculty of Medicine, Masaryk University, Brno Head of Department: prof. V. Valek, M. D., Ph. D. ³; Department of Hematology and Oncology, University Hospital Brno Bohunice, Faculty of Medicine, Masaryk University, Brno Head of Department: prof. J. Mayer, M. D., Ph. D. ⁴; Department of Pathology, University Hospital Brno Bohunice, Faculty of Medicine, Masaryk University, Brno Head of Department: assoc. prof. L. Kren, M. D., Ph. D. ⁵
Vyšlo v časopise: Rozhl. Chir., 2017, roč. 96, č. 2, s. 82-87.
Kategorie: Kazuistika

Souhrn

Akutní apendicitida, se svým typickým klinickým průběhem, je jedna z nejčastějších diagnóz vyžadující akutní operaci. V těchto třech kazuistikách prezentujeme pacienty, jež měli typický klinický průběh svědčící pro akutní apendicitidu, která se však během operace nepotvrdila. CT nebo MR nebyly předoperačně provedeny vzhledem k typických příznakům akutní apendicitidy. V první kazuistice je popsán pacient s pravostrannou divertikulitidou, v druhé kazuistice gravidní pacientka ve 33. týdnu těhotenství s torzí pravého ovária a v poslední popisujeme spontánní perforaci apendikální mucinózní neoplazie.

Klíčová slova:
pravostranná divertikulitida – dermoidní cysta – mucinózní neoplazie – pseudomyxom peritonea – apendicitida

Zdroje

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