One Case of Ileocecal Endometriosis Misdiagnosed with Appendicitis and Literature Review

铭 刘
In: Advances in Clinical Medicine · 2022 · vol. 12(02) , pp. 1294–1297 · doi:10.12677/acm.2022.122188 · W4214682030
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This paper presents a case of ileocecal endometriosis misdiagnosed as appendicitis, discussing diagnosis, treatment, and prognosis based on literature review.

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This case report and literature review examines a patient with ileocecal endometriosis who was initially misdiagnosed with appendicitis before undergoing laparoscopic surgery. The authors highlight that diagnosis of this specific subtype often relies on postoperative pathology due to overlapping clinical symptoms with acute abdominal conditions. They note that while the lesions are benign, they possess implantation capabilities, and treatment typically involves surgical excision or conservative drug therapy, resulting in generally favorable patient outcomes. This paper is centrally about endometriosis — specifically focusing on the diagnostic challenges and management of intestinal involvement at the ileocecal region.

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回盲部子宫内膜异位症误诊阑尾炎1例并文献复习 One Case of Ileocecal Endometriosis Misdiagnosed with Appendicitis and Literature Review One Case of Ileocecal Endometriosis Misdiagnosed with Appendicitis and Literature Review DOI: 10.12677/ACM.2022.122188, PDF, 被引量 作者: 刘 铭*, 李贝贝, 李秋平, 郭璐璐, 王 蓁#：青岛大学附属医院，山东 青岛 关键词: 子宫内膜异位症；回盲部；阑尾炎；Endometriosis； Ileocecal； Appendicitis 作者: 刘 铭*, 李贝贝, 李秋平, 郭璐璐, 王 蓁#：青岛大学附属医院，山东 青岛 关键词: 子宫内膜异位症；回盲部；阑尾炎；Endometriosis； Ileocecal； Appendicitis 摘要: 本文回顾性分析腹腔镜手术治疗回盲部子宫内膜异位症误诊阑尾炎1例，结合其相关文献探讨该类子宫内膜异位症症状、诊断、治疗及预后。目前该类型子宫内膜异位症诊断主要依靠术后病理。子宫内膜异位症多为良性病变，但具有远处转移和种植的能力，治疗上则以手术、药物保守治疗为主，患者预后较好。本文章介绍肠道子宫内膜异位症的诊断、治疗方法及并发症，为临床医师对该病的诊断及治疗提供参考。 Abstract: This paper retrospectively analyzed one case of laparoscopic surgery for ileocecal endometriosis misdiagnosed as appendicitis, and discussed the symptoms, diagnosis, treatment and prognosis of this kind of endometriosis combined with relevant literature. At present, the diagnosis of ileocecal endometriosis mainly depends on postoperative pathology. Endometriosis is mostly benign lesions, but it has the ability of distant metastasis and implantation. In terms of treatment, surgery and drug conservative treatment are the main treatment, and patients have a good prognosis. Endometriosis is mostly benign lesions, but it has the ability of distant metastasis and implantation. In terms of treatment, surgery and drug conservative treatment are the main treatment, and patients have a good prognosis. This article introduces the diagnosis, treatment and complications of intestinal endometriosis, and provides reference for clinicians to diagnose and treat this disease. 文章引用：刘铭, 李贝贝, 李秋平, 郭璐璐, 王蓁. 回盲部子宫内膜异位症误诊阑尾炎1例并文献复习[J]. 临床医学进展, 2022, 12(2): 1294-1297. https://doi.org/10.12677/ACM.2022.122188 | [1] | Remorgida, V., Ferrero, S., Fulcheri, E., et al. (2007) Bowel Endometriosis: Presentation, Diagnosis, and Treatment. Obstetrical & Gynecological Survey, 62, 461-470. [Google Scholar] [CrossRef] [PubMed] | | [2] | 中国医师协会妇产科医师分会, 中华医学会妇产科学分会子宫内膜异位症协作组. 子宫内膜异位症诊治指南(第三版) [J]. 中华妇产科杂志, 2021, 56(12): 812-824. | | [3] | 李亚里, 关铮, 雷晓玲, 等. 特殊部位子宫内膜异位症临床诊治分析[J]. 解放军医学杂志, 2001, 26(4): 285-287. |

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