Vzácné případy napodobující akutní apendicitidu: tři kazuistiky a přehled literatury

Akutní apendicitida, se svým typickým klinickým průběhem, je jedna z nejčastějších diagnóz vyžadující akutní operaci. V těchto třech kazuistikách prezentujeme pacienty, jež měli typický klinický průběh svědčící pro akutní apendicitidu, která se však během operace nepotvrdila. CT nebo MR nebyly předoperačně provedeny vzhledem k typických příznakům akutní apendicitidy. V první kazuistice je popsán pacient s pravostrannou divertikulitidou, v druhé kazuistice gravidní pacientka ve 33. týdnu těhotenství s torzí pravého ovária a v poslední popisujeme spontánní perforaci apendikální mucinózní neoplazie.

Klíčová slova:
pravostranná divertikulitida – dermoidní cysta – mucinózní neoplazie – pseudomyxom peritonea – apendicitida

Autoři: L. Kunovsky ¹; Z. Kala ¹; L. Mitas ¹; V. Can ¹; Jiří Dolina ² ; E. Nemcová ³; L. Klvacova ⁴; T. Gajdosova ⁵; I. Penka ¹
Působiště autorů: Department of Surgery, University Hospital Brno Bohunice, Faculty of Medicine, Masaryk University, Brno Head of Department: prof. Z. Kala, M. D., Ph. D. ¹; Department of Gastroenterology, University Hospital Brno Bohunice, Faculty of Medicine, Masaryk University, Brno Head of Department: prof. A. Hep, M. D., Ph. D. ²; Department of Radiology, University Hospital Brno Bohunice, Faculty of Medicine, Masaryk University, Brno Head of Department: prof. V. Valek, M. D., Ph. D. ³; Department of Hematology and Oncology, University Hospital Brno Bohunice, Faculty of Medicine, Masaryk University, Brno Head of Department: prof. J. Mayer, M. D., Ph. D. ⁴; Department of Pathology, University Hospital Brno Bohunice, Faculty of Medicine, Masaryk University, Brno Head of Department: assoc. prof. L. Kren, M. D., Ph. D. ⁵
Vyšlo v časopise: Rozhl. Chir., 2017, roč. 96, č. 2, s. 82-87.
Kategorie: Kazuistika

Souhrn

Klíčová slova:
pravostranná divertikulitida – dermoidní cysta – mucinózní neoplazie – pseudomyxom peritonea – apendicitida

Zdroje

1. Galli R, Fenner H, Metzger J, et al. Laparoscopic approach in perforated appendicitis: increased incidence of surgical site infection? Surg Endosc 2013;27:2928–33.

2. Omari AH, Khammash MR, Qasaimeh GR, et al. Acute appendicitis in the elderly: risk factors for perforation. World J Emerg Surg 2014;9:6.

3. Andreu-Ballester JC, González-Sánchez A, Ballester F, et al. Epidemiology of appendectomy and appendicitis in the Valencian community (Spain), 1998-2007. Dig Surg 2009;26:406–12.

4. Al-Omran M, Mamdani M, McLeod R. Epidemiologic features of acute appendicitis in Ontario, Canada. Can J Surg 2003;46:263−8.

5. Ilves I, Paajanen HEK, Herzig KH, et al. Changing incidence of acute appendicitis and nonspecific abdominal pain between 1987 and 2007 in Finland. World J Surg 2011;35:731.

6. Lin KB, Lai KR, Yang NP, et al. Epidemiology and socioeconomic features of appendicitis in Taiwan: a 12-year population-based study. World J Emerg Surg. 2015;10:1–13.

7. Buckius MT, McGrath B, Monk J, et al. Changing epidemiology of acute appendicitis in the United States: Study period 1993–2008. J Surg Res 2012;175:185–90.

8. Park SM, Kwon TS, Kim DJ, et al. Prediction and management of recurrent right colon diverticulitis. Int J Colorectal Dis 2014;29:1355–60.

9. Radhi JM, Ramsay JA, Boutross-Tadross O. Diverticular disease of the right colon. BMC Res Notes 2011;4:383.

10. Chiu PW, Lam CY, Chow TL, et al. Conservative approach is feasible in the management of acute diverticulitis of the right colon. ANZ J Surg 2001;71:634–6.

11. Griffiths E, Bergin F, Mudawi A, et al. Acute inflammation of a congenital cecal diverticulum mimicking appendicitis. Med Sci Monit 2003;9:CS107−CS109.

12. Papaziogas B, Makris J, Koutelidakis I, et al. Surgical management of cecal diverticulitis: is diverticulectomy enough? Int J Colorectal Dis 2005;20:24–7.

13. Fang JF, Chen RJ, Lin BC, et al. Aggressive resection is indicated for cecal diverticulitis. Am J Surg 2003;185:135–40.

14. Yakasai IA, Bappa LA. Diagnosis and management of adnexal masses in pregnancy. J Surg Tech Case Rep 2012; 4:79–85.

15. Balci O, Gezginc K, Karatayli R, et al. Management and outcomes of adnexal masses during pregnancy: A 6-year experience. J Obstet Gynaecol Res 2008;34:524–8.

16. Walid MS, Boddy MG. Bilateral dermoid cysts of the ovary in a pregnant woman: case report and review of the literature. Arch Gynecol Obstet 2009;279:105–8.

17. Connor SJ, Hanna GB, Frizelle FA. Appendiceal tumors: Retrospective clinicopathologic analysis of appendiceal tumors from 7,970 appendectomies. Dis Colon Rectum 1998;41:75–80.

18. Chua TC, Gill P, Gill AJ, et al. Ileocecal intussusception caused by an appendiceal neoplasm. J Gastrointest Surg. 2016;20:867.

19. Panarelli N, Yantiss R. Mucinous neoplasms of the appendix and peritoneum. Arch Pathol Lab Med 2011;135:1261–8.

20. Carr N, Finch J, Ilesley I, et al. Pathology and prognosis in pseudomyxoma peritonei: A review of 274 cases. J Clin Pathol 2012;65:919–23.

21. Yang H-R, Huang H-H, Wang Y-C, et al. Management of right colon diverticulitis: a 10-year experience. World J Surg 2006;30:1929−34.

22. Gilmore T, Jordan C, Edelstein E. Right-sided diverticulitis mimics appendicitis. J Emerg Med. 2013; 44: e29–32.

23. Biondo S, Golda T, Kreisler E, et al. Outpatient versus hospitalization management for uncomplicated diverticulitis: a prospective, multicenter randomized clinical trial (DIVER Trial). Ann Surg. 2014;259:38−44.

24. Durmishi Y, Gervaz P, Brandt D, et al. Results from percutaneous drainage of Hinchey stage II diverticulitis guided by computed tomography scan. Surg Endosc 2006;20:1129−33.

25. Liang S, Russek K, Franklin ME. Damage control strategy for the management of perforated diverticulitis with generalized peritonitis: Laparoscopic lavage and drainage vs. laparoscopic Hartmann’s procedure. Surg Endosc 2012;26:2835−42.

26. Gentile V, Ferrarese A, Marola S, et al. Perioperative and postoperative outcomes of perforated diverticulitis Hinchey II and III: Open Hartmann’s procedure vs. laparoscopic lavage and drainage in the elderly. Int J Surg 2014;12:S86−9.

27. Zonča P, Ihnát P, Peteja M, et al. Laparoscopic lavage and drainage in the management of acute diverticulitis: is it time to move on? Rozhl Chir 2013;92:634−9.

28. Hasson J, Tsafrir Z, Azem F, et al. Comparison of adnexal torsion between pregnant and nonpregnant women. Am J Obstet Gynecol. 2010; 202: 536.e1−536.e6.

29. Kolluru V, Gurumurthy R, Vellanki V, et al. Torsion of ovarian cyst during pregnancy: A case report. Cases J 2009;2:9405.

30. Raman A, Sinha G, Sinha A, et al. Subtile presentation of bilateral ovarian dermoid cysts with unilateral torsion: A case report. J Clin Gynecol Obstet 2015;4:232–4.

31. Caspi B, Levi R, Appelman Z, et al. Conservative management of ovarian cystic teratoma during pregnancy and labor. Am J Obstet Gynecol 2000;182:503–5.

32. Sadot E, Telem D, Arora M, et al. Laparoscopy: A safe approach to appendicitis during pregnancy. Surg Endosc 2010;24:383–9.

33. Khan MN, Moran BJ. Four percent of patients undergoing colorectal cancer surgery may have synchronous appendiceal neoplasia. Dis Colon Rectum 2007;50:1856–9.

34. Arnason T, Kamionek M, Yang M, et al. Significance of proximal margin Involvement in low-grade appendiceal mucinous neoplasms. Arch Pathol Lab Med 2015;139:518–21.