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右腹部肿块:保持开阔的思维。

Right abdominal mass: keep an open mind.

机构信息

Department of Radiology, National Organ Transplant Centre, Tripoli, Libya.

出版信息

Libyan J Med. 2010 Jan 7;5. doi: 10.3402/ljm.v5i0.4630.

Abstract

Amebic colitis is common in tropics, usually presenting with variable and non-specific symptoms. Amebomas occur rarely, usually in cecum and ascending colon, when they can masquerade as colon carcinoma. This report describes the case of a 27-year-old male who presented with right abdominal mass. Radiological examination prompted us to the differential diagnosis of ameboma and he was treated with metronidazole and broad-spectrum antibiotics for two weeks. Amebic colitis should be considered as a possible diagnosis when dealing with right-sided abdominal mass.

摘要

阿米巴结肠炎常见于热带地区,通常表现为多变且非特异性的症状。 当位于盲肠和升结肠的阿米巴肿较大时,可类似于结肠癌,较为罕见。 本报告描述了一位 27 岁男性的病例,其主要表现为右侧腹部肿块。 影像学检查提示我们需要对阿米巴肿和结肠癌进行鉴别诊断,随后该患者接受了甲硝唑和广谱抗生素治疗 2 周。 当遇到右侧腹部肿块时,应考虑阿米巴结肠炎作为可能的诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1247/3066772/e4a4e23ebbad/LJM-5-4630-g001.jpg

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