回盲部憩室是一种非常少见的疾病,其主要包括盲肠、升结肠憩室,无症状时常无自觉症状,在有并发症如憩室炎、憩室穿孔、消化道出血及肠梗阻等并发症时,通常才表现为急腹症,盲肠憩室炎由于缺乏特异性的临床表现是造成误诊的首要原因,也是主要原因,急性盲肠憩室炎和急性阑尾炎由于在症状、体征上的极其相似性,一般均有右下腹痛、麦氏点区压痛及白细胞增高等共同特点,临床上极易误诊,大多在行阑尾切除术中发现。本例为急性化脓性盲肠憩室炎,由于其部位与正常阑尾生理位置非常接近,故其临床症状及体征与急性阑尾炎极为相似,所以其术前诊断比较困难,术中发现阑尾正常与体征不相符合时,笔者再探查回盲部时才发现病变部位距离盲肠末端约10 cm处一长约3 cm、根部粗约1 cm的憩室,其已经化脓、穿孔,周围有脓苔,故如术前诊断急性阑尾炎而术时未见阑尾病变时,应常规探查回盲,以免误诊。 Idiopathic diverticulum is a very rare disease, which mainly includes the cecum, ascending colon diverticulum, asymptomatic symptoms are often no symptoms in complications such as diverticulitis, diverticulitis, gastrointestinal bleeding and intestinal obstruction and other complications, Usually manifested as acute abdomen, cecal diverticulitis due to the lack of specific clinical manifestations is the primary cause of misdiagnosis, but also the main reason for acute cecal diverticulitis and acute appendicitis due to the extreme similarity in symptoms and signs, generally have Right lower abdominal pain, Maxwell point tenderness and increased common white blood cells, clinically very easy to misdiagnosis, mostly in the line appendectomy found. This case of acute suppurative cecal diverticulitis, because of its location and the normal appendix physiological location is very close, so its clinical symptoms and signs and acute appendicitis are very similar, so the preoperative diagnosis is more difficult, intraoperative findings appendix normal and signs of non-phase In line with the time, I went to explore the ileocecal part of the lesion found only about 10 cm from the end of the cecum a length of about 3 cm, the root of about 1 cm rough diverticulum, which has purulent, perforation, pus surrounding, so preoperative Diagnosis of acute appendicitis and no appendix at the time of surgery, should be routine exploration Ileocecal, so as not to misdiagnosis.