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一名儿童的超长阑尾：病例报告

An unusually long appendix in a child: a case report.

作者信息

Alzaraa Ahmed, Chaudhry Sunil

机构信息

Department of General Surgery, Leighton Hospital, Mid Cheshire Hospitals NHS Foundation Trust Crewe, CW1 4QJ UK.

出版信息

Cases J. 2009 Jun 11;2:7398. doi: 10.4076/1757-1626-2-7398.

DOI:10.4076/1757-1626-2-7398
PMID:19829951
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2740076/
Abstract

INTRODUCTION

Appendicitis is the most common surgical emergency, but its diagnosis in children can be a challenge to the treating surgeon.

CASE PRESENTATION

A 10 years-old girl was admitted to the paediatrics surgical ward with a right sided abdominal pain. The initial clinical presentation was vague. She underwent an appendicectomy which revealed a very long appendix.

CONCLUSION

About half of the adult patients with appendicitis present with the known classical signs and symptoms, but the clinical scenario might be completely different in children. This case is educational as it highlights the importance of the atypical presentations of an unusually long appendix in children.

摘要

引言

阑尾炎是最常见的外科急症，但对治疗外科医生而言，儿童阑尾炎的诊断可能具有挑战性。

病例介绍

一名10岁女孩因右侧腹痛入住儿科外科病房。最初的临床表现不明确。她接受了阑尾切除术，术中发现阑尾很长。

结论

约一半的成年阑尾炎患者表现出已知的典型体征和症状，但儿童的临床情况可能完全不同。该病例具有教育意义，因为它突出了儿童阑尾异常长时非典型表现的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f09e/2740076/e25c714e1bd7/1757-1626-0002-0000007398-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f09e/2740076/cff54d1c5696/1757-1626-0002-0000007398-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f09e/2740076/e25c714e1bd7/1757-1626-0002-0000007398-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f09e/2740076/cff54d1c5696/1757-1626-0002-0000007398-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f09e/2740076/e25c714e1bd7/1757-1626-0002-0000007398-002.jpg

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An unusual presentation of appendicitis: a 23 cm long appendix in Morocco.阑尾炎的一种罕见表现：摩洛哥一例阑尾长达23厘米的病例
Pan Afr Med J. 2019 Feb 12;32:72. doi: 10.11604/pamj.2019.32.72.18151. eCollection 2019.
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71,000 HUMAN APPENDIX SPECIMENS. A FINAL REPORT, SUMMARIZING FORTY YEARS' STUDY.71000份人类阑尾标本。一份总结四十年研究的最终报告。
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