Lindecken K D, Adolph M, Paterakis S
Chirurgische und Unfallchirurgische Abteilung, Wilhelm-Anton-Hospitals Goch.
Zentralbl Chir. 1991;116(11):679-82.
The most common cause of acute abdomen in a child is acute appendicitis followed by mesenteric lymphadenitis, invagination, strangulation-ileus as a result of volvulus and more rarely perforated Meckel's diverticulum. However even with a child, from a differential diagnosis' aspect, a gynaecological cause should be taken in account too. From time to time one comes across a polycystic-alterated, with twisted lig. ovarii, haemorrhagic and infarctioned ovary without any endocrinological or other pathological irregularities which produces these complaints and symptoms. In the following casuistic such an instance is described.
儿童急性腹痛最常见的原因是急性阑尾炎，其次是肠系膜淋巴结炎、肠套叠、肠扭转所致绞窄性肠梗阻，以及较少见的梅克尔憩室穿孔。然而，即使是儿童，从鉴别诊断的角度来看，也应考虑妇科原因。偶尔会遇到多囊样改变、卵巢韧带扭转、出血性和梗死性卵巢，而无任何内分泌或其他病理异常，却出现这些主诉和症状。在以下病例中描述了这样一个实例。
