Christianakis Efstratios, Paschalidis Nikolaos, Filippou Georgios, Smailis Dimitrios, Chorti Maria, Rizos Spiros, Filippou Dimitrios
Pendeli Children’s Hospital, Palaia Pendeli, Athens, Greece.
Cases J. 2009 May 29;2:8023. doi: 10.1186/1757-1626-2-8023.
Acute appendicitis is the most common cause of the right lower quadrant acute abdominal pain in children. Some other conditions including cecal epiploica appendix torsion, can simulate acute abdomen. Epiploica appendix torsion usually occurs in the sigmoid colon and rarely in the cecum of adult males. In children, this entity is extremely rare and may represent a diagnostic and therapeutic dilemma. We report a case of an 8-year-old Greek girl, presented with signs and symptoms mimicking acute abdomen. Our patient is the younger one among the other four with cecal epiploica appendix torsion that had been reported in the literature.
急性阑尾炎是儿童右下象限急性腹痛最常见的原因。其他一些情况,包括盲肠网膜阑尾扭转,可能会模拟急腹症。网膜阑尾扭转通常发生在乙状结肠,在成年男性的盲肠中很少见。在儿童中,这种情况极为罕见,可能代表诊断和治疗上的难题。我们报告一例8岁希腊女孩,表现出类似急腹症的体征和症状。我们的患者是文献中报道的另外4例盲肠网膜阑尾扭转患者中年龄最小的。