摘要
Preoperative images of acute appendiceal diverticulitis are rarely reported because of the difficulty of distinguishing appendiceal diverticulitis from other iliocecal diseases like acute appendicitis or cecal diverticulitis. We report a case of preoperatively diagnosed acute appendiceal diverticulitis. A 30-year-old female with a presumptive diagnosis of acute appendicitis from history and physical examination was admitted to our hospital. Ultrasound sonography showed inflamed appendiceal diverticula and inflammatory changes of the surrounding tissue. The swollen appendix was detected but its findings were slightly different from those of typical acute appendicitis in the following points. One difference was the thickened wall of the appendix, the other difference was the presence of air in the appendix. The patient underwent appendectomy and the pathological specimen revealed inflammatory changes of diverticula within the appendix.
因为把阑尾的憩室炎与象急性阑尾炎或盲肠的憩室炎一样的另外的回盲肠疾病区分开来的困难，尖锐阑尾的憩室炎的外科手术前的图象很少被报导。我们报导外科手术前地诊断的尖锐阑尾的憩室炎的一个案例。有从历史和体格检查的急性阑尾炎的假定诊断的 30 岁的女性进入我们的医院。超声 sonography 显示出煽动的阑尾的憩室和包围织物的煽动性的变化。肿的附录被检测，但是它的调查结果与在下列点的典型急性阑尾炎的那些稍微不同。一差别是附录的变厚的墙，另外的差别是在附录的空气的存在。病人经历了阑尾切除术，病理学的标本在附录以内揭示了憩室的煽动性的变化。
