腹腔镜诊断和治疗急性网膜附件扭转坏死致急腹症
Laparoscopic diagnosis and treatment of an acute epiploic appendagitis with torsion and necrosis causing an acute abdomen.
作者信息
Vázquez-Frias J A, Castañeda P, Valencia S, Cueto J
机构信息
Department of Surgery of The American British Cowdray Hospital, Mexico City, Mexico.
出版信息
JSLS. 2000 Jul-Sep;4(3):247-50.
Abstract
Acute epiploic appendagitis is not as rare as previously thought; but, since the presenting signs and symptoms are not specific, preoperative diagnosis has been rarely made. At the present time, a laparoscopic exploration of the peritoneal cavity will establish the correct diagnosis, and the treatment can be provided during the same procedure. Herein, a case of a 63-year-old female patient with acute abdominal syndrome caused by a necrotic epiploic appendix that was successfully diagnosed and treated laparoscopically is described. A review of the literature is made, as well.
摘要
急性网膜附件炎并不像以前认为的那样罕见；但是，由于其呈现的体征和症状不具有特异性，术前很少能做出诊断。目前，腹腔镜探查腹腔可确立正确诊断，且可在同一手术过程中进行治疗。本文描述了一例63岁女性患者，因坏死性网膜阑尾导致急性腹部综合征，经腹腔镜成功诊断并治疗。同时也对相关文献进行了综述。
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