粘连导致的肝下型阑尾炎：一例报告
Subhepatically located appendicitis due to adhesions: a case report.
作者信息
Ting Joseph Y S, Farley Rebecca
机构信息
Department of Emergency Medicine, Mater Adult Hospital, Raymond Tce, Australia.
出版信息
J Med Case Rep. 2008 Oct 31;2:339. doi: 10.1186/1752-1947-2-339.
INTRODUCTION
Acute appendicitis occurs frequently and is a major indication for acute abdominal surgery. Subhepatic appendicitis has rarely been reported and is more difficult to diagnose.
CASE PRESENTATION
A 71-year-old man with multiple medical comorbidities presented with undifferentiated right abdominal pain. Diagnostic difficulty was encountered due to subhepatic mal-location of the appendix and subsequently atypical presentation for acute appendicitis.
CONCLUSION
Subhepatic anatomical location of the appendix makes it more difficult to diagnose acute appendicitis at any age, including in older adults.
引言
急性阑尾炎发病率高，是急性腹部手术的主要指征。肝下阑尾炎鲜有报道，且更难诊断。
病例介绍
一名患有多种内科合并症的71岁男性，出现不明原因的右腹痛。由于阑尾位于肝下的异常位置，随后出现急性阑尾炎的非典型表现，导致诊断困难。
结论
阑尾位于肝下的解剖位置使得在任何年龄，包括老年人中，急性阑尾炎的诊断都更加困难。
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