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阑尾结石的不同临床表现。三例报告并文献复习

Different clinical presentation of appendicolithiasis. The report of three cases and review of the literature.

作者信息

Kaya Bulent, Eris Cengiz

机构信息

Fatih Sultan Mehmet Training and Research Hospital, Department of General Surgery, Istanbul, Turkey.

出版信息

Clin Med Insights Pathol. 2011 Mar 30;4:1-4. doi: 10.4137/CPath.S6757.

DOI:10.4137/CPath.S6757
PMID:21487530
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3072212/
Abstract

An appendicolith is composed of firm feces and some mineral deposits. After increased use of abdominal computed tomography, appendicoliths are more frequently detected. Most of the patients with appendicolith are asymptomatic. However, an appendicolith may be associated with complicated appendicitis with serious outcomes. We reported three patients who exhibited different clinical symptoms due to appendicolithiasis. While one of the patients was confused with urolithiasis, the other two patients presented with phlegmenous and perforated appendicitis. We submit that appendicoliths may present different clinical findings and can mimic several pathologies including urinary disorders.

摘要

阑尾结石由坚实的粪便和一些矿物质沉积组成。随着腹部计算机断层扫描的使用增加,阑尾结石的检出率更高。大多数阑尾结石患者无症状。然而,阑尾结石可能与复杂阑尾炎相关,会导致严重后果。我们报告了3例因阑尾结石病而表现出不同临床症状的患者。其中1例患者被误诊为尿路结石,另外2例患者分别表现为蜂窝织炎性阑尾炎和穿孔性阑尾炎。我们认为阑尾结石可能呈现不同的临床表现,并可模仿包括泌尿系统疾病在内的多种病症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b58/3072212/ecbb69df8137/cpath-2011-001f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b58/3072212/7be9ee2fd5dd/cpath-2011-001f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b58/3072212/23bab7326653/cpath-2011-001f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b58/3072212/c4025b6fc98b/cpath-2011-001f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b58/3072212/a91e7bae4fbb/cpath-2011-001f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b58/3072212/ecbb69df8137/cpath-2011-001f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b58/3072212/7be9ee2fd5dd/cpath-2011-001f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b58/3072212/23bab7326653/cpath-2011-001f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b58/3072212/c4025b6fc98b/cpath-2011-001f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b58/3072212/a91e7bae4fbb/cpath-2011-001f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b58/3072212/ecbb69df8137/cpath-2011-001f5.jpg

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Pediatr Radiol. 2008 Sep;38(9):1006-8. doi: 10.1007/s00247-008-0889-7. Epub 2008 May 22.
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Dropped appendicolith: CT findings and implications for management.阑尾结石脱落:CT表现及对治疗的意义
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Two Common Pelvic Diseases Detected on X-ray Pelvis.X线骨盆平片检查发现的两种常见骨盆疾病。
Oman Med J. 2024 Jan 31;39(1):e602. doi: 10.5001/omj.2024.48. eCollection 2024 Jan.
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