Kambaroudis A, Papadopoulos S, Arapoglou S, Fragandreas G, AlMogrampi S, Gerasimidis T
5th Surgical Clinic of Medical School of Aristotle University of Thessaloniki, Hippokratio Hospital, Greece.
Chirurgia (Bucur). 2010 Jul-Aug;105(4):551-4.
Right lower quadrant pain is a very common symptom in everyday clinical practice, and of variable etiology. In patients arriving in the emergency room with sudden-onset right lower quadrant pain, the commonest cause is acute appendicitis. Primary epiploic appendagitis, a rare entity, with a clinical presentation similar to other causes of acute abdomen, and one that subsides spontaneously, can constitute a problem in differential diagnosis, because it is a condition best treated conservatively. The exact diagnosis is a prerequisite for conservative treatment. We present the case of a 62 year old woman with primary epiploic appendagitis of the ascending colon that presented as acute abdomen, who underwent an exploratory laparotomy with the preoperative diagnosis of acute appendicitis.
右下象限疼痛是日常临床实践中非常常见的症状，病因多样。在因突发右下象限疼痛而到急诊室就诊的患者中，最常见的病因是急性阑尾炎。原发性网膜附件炎是一种罕见疾病，临床表现与其他急腹症病因相似，且可自行缓解，这可能在鉴别诊断中造成问题，因为这是一种最好采用保守治疗的病症。准确诊断是保守治疗的前提。我们报告一例62岁女性患者，其升结肠原发性网膜附件炎表现为急腹症，术前诊断为急性阑尾炎，随后接受了剖腹探查术。
