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儿童期和青春期早期急性阑尾炎的泌尿系统症状

Urological symptoms of acute appendicitis in childhood and early adolescence.

作者信息

Gardikis Stefanos, Touloupidis Stavros, Dimitriadis Georgios, Limas Christos, Antypas Spyros, Dolatzas Theodoros, Polychronidis Alexandros, Simopoulos Constantinos

机构信息

Department of Pediatric Surgery, Democritus University of Thrace Medical School, Alexandroupolis, Greece.

出版信息

Int Urol Nephrol. 2002;34(2):189-92. doi: 10.1023/a:1023226631364.

DOI:10.1023/a:1023226631364
PMID:12775091
Abstract

We present 15 cases of acute appendicitis in ten boys and five girls (age 3-15 years) with cardinal symptomatology coming from the urogenital tract, who were treated in our departments. All the patients presented with right renal colic, dysuria, frequency and urinary retention. The symptoms were attributed to an ongoing appendix inflammatory process in close proximity to the right distal ureter and urinary bladder. All the patients were successfully operated, and postoperative courses were uneventful. As the present patient group is the largest reported to date, a classification of the pathophysiology in relation to the clinical presentation is proposed.

摘要

我们报告了15例急性阑尾炎病例,其中10名男孩和5名女孩(年龄3至15岁),主要症状源自泌尿生殖道,在我们科室接受治疗。所有患者均表现为右肾绞痛、排尿困难、尿频和尿潴留。这些症状归因于靠近右输尿管远端和膀胱的阑尾正在进行的炎症过程。所有患者均成功接受手术,术后病程平稳。鉴于目前该患者组是迄今为止报告的最大规模的,因此提出了与临床表现相关的病理生理学分类。

相似文献

1
Urological symptoms of acute appendicitis in childhood and early adolescence.儿童期和青春期早期急性阑尾炎的泌尿系统症状
Int Urol Nephrol. 2002;34(2):189-92. doi: 10.1023/a:1023226631364.
2
[Urological manifestations of acute appendicitis].[急性阑尾炎的泌尿系统表现]
Arch Esp Urol. 2005 Apr;58(3):207-12. doi: 10.4321/s0004-06142005000300004.
3
Urologic complications of appendicitis.阑尾炎的泌尿系统并发症。
Urology. 1975 Dec;6(6):689-92. doi: 10.1016/0090-4295(75)90796-7.
4
[Prospective study of a predictive scoring system for the diagnosis of appendicitis in patients with right lower quadrant pain. Long-term outcome].[右下象限疼痛患者阑尾炎诊断预测评分系统的前瞻性研究。长期结果]
Gastroenterol Clin Biol. 1991;15(11):794-9.
5
Idiopathic granulomatous appendicitis. Report of five cases, one of which presented as migratory arthritis.特发性肉芽肿性阑尾炎。五例报告,其中一例表现为游走性关节炎。
J Clin Gastroenterol. 1995 Dec;21(4):290-4. doi: 10.1097/00004836-199512000-00008.
6
Anatomic basis for delayed diagnosis of appendicitis.阑尾炎延迟诊断的解剖学基础。
South Med J. 1990 Jul;83(7):771-3. doi: 10.1097/00007611-199007000-00013.
7
[Appendicitis in childhood].[儿童阑尾炎]
Monatsschr Kinderheilkd. 1985 Mar;133(3):158-66.
8
[Clinical findings in appendicitis].[阑尾炎的临床发现]
Bruns Beitr Klin Chir (1971). 1969 May;217(3):200-12.
9
[Urologic presentation of acute appendicitis: a frequent cause of delayed diagnosis, including in HIV infected patients].急性阑尾炎的泌尿外科表现:延误诊断的常见原因,包括在HIV感染患者中
Prog Urol. 2003 Apr;13(2):326-8.
10
Diverticular disease of the appendix.阑尾憩室病
Surg Gynecol Obstet. 1989 Jan;168(1):13-6.

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Malays J Med Sci. 2020 Jul;27(4):139-146. doi: 10.21315/mjms2020.27.4.13. Epub 2020 Aug 19.
2
Mimicry of Appendicitis Symptomatology in Congenital Anomalies and Diseases of the Genitourinary System and Pregnancy.先天性泌尿生殖系统异常、疾病及妊娠中阑尾炎症状学的模仿
Curr Urol. 2017 Jan;9(4):169-178. doi: 10.1159/000447136. Epub 2016 Dec 26.
3
A rare case of an appendiceal mass masquerading as a pelvic tumour and causing bilateral hydronephrosis.

本文引用的文献

1
Appendicitis and alternate diagnoses in children: findings on unenhanced limited helical CT.儿童阑尾炎及其他诊断:非增强有限螺旋CT检查结果
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Acute urinary retention: an unusual presentation of acute appendicitis in a 3 year old boy.急性尿潴留:一名3岁男孩急性阑尾炎的不寻常表现。
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Plain abdominal radiography as a routine procedure for acute abdominal pain of the right lower quadrant: prospective evaluation.
一例罕见的阑尾肿物伪装成盆腔肿瘤并导致双侧肾积水的病例。
Biomed Imaging Interv J. 2012 Apr;8(2):e11. doi: 10.2349/biij.8.2.e11. Epub 2012 Apr 1.
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Appendicovesical fistula.阑尾膀胱瘘
Int Urol Nephrol. 1995;27(6):705-8. doi: 10.1007/BF02552135.
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Missed appendicitis in a pediatric emergency department.儿科急诊科的阑尾炎漏诊
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Clinicopathological conference. Ureteral obstruction associated with abdominal mass.临床病理讨论会。与腹部肿块相关的输尿管梗阻。
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Abnormal urinalysis in appendicitis.阑尾炎患者的尿液分析异常。
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Appendicovesical fistula.阑尾膀胱瘘
Urology. 1984 Dec;24(6):604-9. doi: 10.1016/0090-4295(84)90112-2.
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Urological manifestations of acute appendicitis.急性阑尾炎的泌尿系统表现。
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Delayed diagnosis in pediatric appendicitis.小儿阑尾炎的延迟诊断
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