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伪装成上颌窦炎的憩室穿孔

Diverticular perforation masquerading as maxillary sinusitis.

作者信息

Hollingshead Michael C, Warshauer David M

机构信息

Department of Radiology, CB 7510, University of North Carolina School of Medicine, Chapel Hill, NC 27599-7510, USA.

出版信息

Emerg Radiol. 2006 Nov;13(2):83-5. doi: 10.1007/s10140-006-0510-z. Epub 2006 Aug 29.

DOI:10.1007/s10140-006-0510-z
PMID:16941111
Abstract

Although diverticular perforation and diverticulitis is usually a straightforward diagnosis, an occasional case can be difficult. In this report, we describe a patient who initially presented with symptoms suggestive of maxillary sinusitis and hip fracture. Findings of subcutaneous craniofacial emphysema eventually led to the diagnosis of a perforated sigmoid diverticulum with abscess.

摘要

虽然憩室穿孔和憩室炎通常诊断明确,但偶尔也会遇到困难病例。在本报告中,我们描述了一名患者,其最初表现出提示上颌窦炎和髋部骨折的症状。皮下颅面气肿的发现最终导致诊断为乙状结肠憩室穿孔伴脓肿。

相似文献

1
Diverticular perforation masquerading as maxillary sinusitis.伪装成上颌窦炎的憩室穿孔
Emerg Radiol. 2006 Nov;13(2):83-5. doi: 10.1007/s10140-006-0510-z. Epub 2006 Aug 29.
2
[Case no 2. Abscess due to sigmoid diverticulum perforation].
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Preoperative CT staging in sigmoid diverticulitis--does it correlate with intraoperative and histological findings?术前 CT 分期在乙状结肠憩室炎中的应用——与术中及组织学发现相关吗?
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[Unexpected computerized tomography findings in neoplasm staging of a patient with plasmacytoma].[浆细胞瘤患者肿瘤分期中计算机断层扫描的意外发现]
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Perforated Colonic Diverticula Presenting as Periorbital and Cervical Subcutaneous Emphysema.以眶周及颈部皮下气肿为表现的结肠穿孔性憩室
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[Empyema of the hip joint and psoas abscess: rare complications in inapparent sigmoid diverticulitis].[髋关节积脓和腰大肌脓肿:隐匿性乙状结肠憩室炎的罕见并发症]
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本文引用的文献

1
Rectal perforations after barium enema: a review.钡剂灌肠后直肠穿孔:综述
Dis Colon Rectum. 2006 Feb;49(2):261-71. doi: 10.1007/s10350-005-0225-3.
2
Complicated diverticulitis: is it time to rethink the rules?复杂性憩室炎:是时候重新审视规则了吗?
Ann Surg. 2005 Oct;242(4):576-81; discussion 581-3. doi: 10.1097/01.sla.0000184843.89836.35.
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Am J Emerg Med. 2005 May;23(3):421-2. doi: 10.1016/j.ajem.2005.01.005.
4
Emphysematous epididymitis as presentation of unusual seminal vesicle fistula secondary to sigmoid diverticulitis: case report.气肿性附睾炎作为乙状结肠憩室炎继发罕见精囊瘘的表现:病例报告
Abdom Imaging. 2005 Jan-Feb;30(1):113-6. doi: 10.1007/s00261-004-0216-1. Epub 2004 Nov 17.
5
Pneumomediastinum, pneumopericardium, and pneumoperitoneum caused by peridiverticulitis of the colon: report of a case.结肠憩室周围炎所致纵隔气肿、心包积气和腹腔积气:病例报告
Dis Colon Rectum. 2004 May;47(5):766-8. doi: 10.1007/s10350-003-0102-x. Epub 2004 Mar 4.
6
Subcutaneous emphysema of the neck and colonic perforation.颈部皮下气肿和结肠穿孔。
Emerg Med J. 2002 Sep;19(5):465. doi: 10.1136/emj.19.5.465.
7
Diverticular abscess presenting as prostate abscess and missed by abdominal CT scan.以前列腺脓肿表现的憩室脓肿并被腹部CT扫描漏诊。
J Emerg Med. 2002 Apr;22(3):263-5. doi: 10.1016/s0736-4679(01)00482-6.
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Superior mesenteric vein thrombosis with radiologically occult cause: a retrospective study of 43 cases.
AJR Am J Roentgenol. 2001 Oct;177(4):837-41. doi: 10.2214/ajr.177.4.1770837.
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Diverticular disease in the elderly.
Gastroenterol Clin North Am. 2001 Jun;30(2):475-96. doi: 10.1016/s0889-8553(05)70191-6.
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Urachal-sigmoid fistula in an adult male.
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