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我院于1990年～1998年共收治回盲部肿瘤误诊为阑尾脓肿4例。临床资料:本组4例病人中男3例,女1例,发病年龄46～62岁。4例患者均有转移性右下腹痛伴有轻度发热,右下腹部肿块伴轻度压痛。在外院诊为急性阑尾炎,经治疗效果不佳。转来我院诊为阑尾脓肿收入院。经非手术治疗,仍然效果不佳。后B超提示右下腹实质性肿块,3例患者作X线钡剂灌肠检查为回盲部肿瘤,1例行纤维结肠镜检查诊断为回盲部肿瘤。4例患者自首次误诊至回盲部肿瘤手术时间均在3个月以内。均行右半结肠切除术。病理检查:腺癌3例,恶性淋巴瘤1例。
In our hospital from 1990 to 1998, ileocecal tumors were misdiagnosed as 4 cases of appendiceal abscesses. Clinical data: 4 patients in this group were 3 males and 1 female, and the age of onset was 46 to 62 years old. All 4 patients had metastatic right lower quadrant pain with mild fever, and right lower abdominal mass with mild tenderness. In the outpatient clinic, acute appendicitis was treated with poor results. Transferred to our hospital for the appendix abscess income hospital. After non-surgical treatment, the effect is still not good. After the B-ultrasound showed a solid mass in the right lower abdomen, 3 patients had X-ray barium enema examination as ileocecal tumor, and 1 patient was diagnosed as ileocecal tumor by colonoscopy. The operation time of the 4 cases from the first misdiagnosis to the ileocecal tumor was within 3 months. Right colon resection was performed. Pathological examination: 3 cases of adenocarcinoma, 1 case of malignant lymphoma.