·183CHINESEJOURNALOFCTANDMRI,OCT.2023,Vol.21,No.10TotalNo.168【第一作者】王郑林，男，硕士，主要研究方向：肝胆、肿瘤。E-mail：390513839@qq.com【通讯作者】周少波，男，教授，主要研究方向：肝胆、肿瘤。E-mail：zhoushaobodoctor@sina.com短篇ACaseofAppendicealPeritonealPseudomyxomaMisdiagnosedasAppendicitis*WAngZheng-lin,TAngJie,ChenJia-wei,ShenQi-li,ZhoUShao-bo*.DepartmentofgeneralSurgery,TheSecondAffiliatedhospitalofbengbuMedicalCollege,bengbu233000,AnhuiProvince,ChinaAbSTRACTobjectiveToimprovetheabilityofclinicalmedicalworkersinthediagnosisandtreatmentofappendicealmucinoustumorsandtoreducetheoccurrenceofmedicaldisputes.MethodsClinicaldataof1caseofappendicealmucinoustumorwerecollected,includingpreoperativeexamination(laboratorytestsandimagingresults),treatmentcourseandpostoperativepathologicalresults.ResultsThepatientunderwentlaparoscopicexploration.Pathologicalsamplesweretakenthroughbiopsyforcepsduringtheoperation.Thepostoperativepathologicaldiagnosiswaslow-gradeappendicealmucinoustumor.Aftertheoperation,thepatientunderwentintraperitonealperfusionchemotherapy,andhisconditionimprovedandhewasdischargedsuccessfully.ConclusionTheclinicalsymptomsofappendicealmucinoustumoraresimilartothoseofappendicitis,whicharedifficulttodistinguishandmisdiagnose.Rapidfrozenpathologicalexaminationneedstobeperformedduringtheoperationtodeterminethenatureofthemassbeforethespecifictreatmentisselected.Keywords:AppendicealMucinousTumor;PeritonealPseudomyxoma;CT;Follow-up阑尾黏液性肿瘤(AMN)较少见，发生率低，通常在阑尾切除术或其他腹部手术后对切除阑尾标本进行病理学检查时发现，仅占标本中0.2%~0.7%[1]，但近几年研究发现其发病率有上升趋势[2]。该疾病临床表现与急性阑尾炎相似，辅助检查很难鉴别，临床上极易误诊。本研究报告1例蚌埠医学院第二附属医院普外科收治的阑尾源性腹膜假黏液瘤误诊为阑尾炎的老年女性患者，报告如下。1临床资料患者，女，76岁，3天前无明显诱因下出现右下腹痛，呈持续性胀痛，休息后无明显缓解，无恶心呕吐，轻度发热，体温达37.5℃，有腹泻，排出大量稀水样大便，便后症状有所缓解，在当地医院查阑尾彩超示：...
