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钝性腹部创伤后急性阑尾炎

[Acute appendicitis after blunt abdominal trauma].

作者信息

Tekin K, Ozek M C

机构信息

Oğretim Görevlisi, Pamukkale Universitesi, Tip Fakültesi, Genel Cerrahi A.D., Denizli.

出版信息

Ulus Travma Derg. 2001 Jul;7(3):207-9.

Abstract

Acute appendicitis is the most common acute surgical condition of the abdomen. The concept of lumen obstruction as the cause has been widely accepted in the pathogenesis of acute appendicitis. In the literature, we have found a few case reports and a retrospective clinical study related to abdominal trauma as a possible factor in etiology of acute appendicitis. Whether blunt abdominal trauma can be the inciting event leading to acute appendicitis or only is a coincidence is not clear. We represent a case of perforated acute appendicitis after blunt abdominal trauma. Although a causative relationship between trauma and appendicitis cannot be proved in our case, we suggest that appendicitis should be considered in the patients with blunt abdominal trauma for not only medical but also its potential legal implications.

摘要

急性阑尾炎是腹部最常见的急性外科病症。管腔阻塞作为病因的概念在急性阑尾炎的发病机制中已被广泛接受。在文献中,我们发现了一些与腹部创伤作为急性阑尾炎病因的可能因素相关的病例报告和一项回顾性临床研究。钝性腹部创伤是导致急性阑尾炎的诱发事件还是仅仅是一种巧合尚不清楚。我们报告一例钝性腹部创伤后穿孔性急性阑尾炎病例。虽然在我们的病例中无法证明创伤与阑尾炎之间存在因果关系,但我们建议,对于钝性腹部创伤患者,不仅出于医疗考虑,而且考虑到其潜在的法律影响,都应考虑阑尾炎的可能性。

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