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1 病例报告女,22岁,农民,云南人。因右下腹疼痛,发热疑为急性化脓性阑尾炎行阑尾切除术,术中见腹腔淡黄色渗液,阑尾被大网膜包裹。与腹壁粘连固定.整块切除病变阑尾及包裹网膜后送病理检查。大体:送检组织为黄色不规则条索状,13cm×4cm×3cm。近端被脂肪组织包裹,切开脂肪组织内有1.5cm×1cm的脓腔,腔内充满淡黄色脓液,远端有一段游离的阑尾长5.5cm,粗1cm,表面附有脓苔,切面灰白色,阑尾腔很小,无脓液流出,管壁均匀增厚。经石蜡切片HE染色,光镜观察:阑尾壁粘膜层及粘膜下层正常结构被破坏,仅见个
1 Case Report Female, 22 years old, farmer, Yunnan. Due to pain in the right lower abdomen, fever suspected as acute purulent appendicitis appendectomy, see intraoperative abdominal yellowish exudate, appendix was wrapped in a large omentum. Adhesion was fixed with the abdominal wall. The whole block was resected and the omentum was wrapped and sent for pathological examination. General: The inspection organization is a yellow irregular cord, 13cm x 4cm x 3cm. The proximal part was wrapped with adipose tissue and the incision in the adipose tissue had a 1.5cm x 1cm abscess. The cavity was filled with pale yellow pus. The distal part had a free 5.5cm appendix, 1cm thick, and pus was attached to the surface. Grayish white, small appendix cavity, no pus outflow, even thickening of the wall. After paraffin section HE staining, the normal structure of the mucosal layer and submucosa of the appendix wall was destroyed.