SP - 837860 VL - 2014 AB -阑尾憩室炎是一种罕见的情况。本文报告一例阑尾憩室病及憩室炎临床伪装为阑尾癌。一位62岁的妇女出现腹痛。超声及CT示阑尾肿物，大小5 × 4 × 4cm。结肠内窥镜检查显示阑尾孔口黏膜抬高及不规则。阑尾粘膜活检未见明显改变。临床诊断为阑尾癌，行回肠末、阑尾、盲肠、升结肠广泛切除。大致可见阑尾有一个长5 × 3 × 4厘米的肿瘤。剖开阑尾腔，发现阑尾黏膜不规则升高。阑尾周围组织增厚。 Microscopically, the lesion was multiple appendiceal diverticula. The diverticula were penetrating the muscle layer. The mucosa showed erosions in places. Much fibrosis, abscess formations, and lymphocytic infiltration were seen in the subserosa. Abscesses were also seen in the diverticular lumens. Some diverticula penetrated into the subserosa. The pathologic diagnosis was appendiceal diverticulitis. When they encounter an appendiceal mass, clinicians should consider appendiceal diverticulitis as a differential diagnosis. SN - 2090-6528 UR - https://doi.org/10.1155/2014/837860 DO - 10.1155/2014/837860 JF - Case Reports in Gastrointestinal Medicine PB - Hindawi Publishing Corporation KW - ER -