タイトル(別表記) A case of microscopic low-grade appendiceal mucinous neoplasm complicated with appendicitis resected by reduced-port laparoscopic surgery
フルテキストURL 126_223.pdf
著者 鈴木 宏光| 木村 紘爾| 木下 茂喜| 岡野 和雄|
抄録 Appendicitis is a benign disease for which surgical treatment is widely provided. The complication of neoplastic lesions may be discovered only after resection. However, in some cases, specimens are not submitted to histopathological examination in Japan because of an extreme deficiency of pathologists. We report our experience with one patient who experienced the complication of latent low-grade appendiceal mucinous neoplasm (LAMN) after surgery for appendicitis. Our patient was an 85-year-old woman. Conservative treatment failed to relieve fever and lower abdominal pain and it was decided to treat her surgically. Abdominal computed tomography (CT) showed appendicitis with severe inflammation and suspected adhesion. We decided to explore the abdominal cavity using a reduced-port laparoscopic approach. We found no mucous debouchment or clear tumors in the specimen. Histopathological findings indicated the coexistence of appendicitis and LAMN. At one year and a half after surgery, there was no evidence of the development of pseudomyxoma peritonei. In appendectomy, it is thought that careful perioperative treatment and a postoperative pathological search are important when there are no preoperative findings suggesting a neoplastic lesion.
キーワード 虫垂炎(appendicitis) 減孔式腹腔鏡手術(reduced-port laparoscopic surgery) 虫垂粘液嚢胞腺腫(low-grade appendiceal mucinous neoplasm (LAMN)) 腹膜偽粘液腫(pseudomyxoma peritonei) 腹腔鏡下虫垂切除術(laparoscopic appendectomy)
出版物タイトル 岡山医学会雑誌
発行日 2014-12-01
126巻
3号
開始ページ 223
終了ページ 226
ISSN 0030-1558
言語 Japanese
著作権者 Copyright (c) 2014 岡山医学会
論文のバージョン publisher
DOI 10.4044/joma.126.223
NAID 130004903238