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一名23个月大的幼儿,以急性阴囊肿胀为表现的阑尾破裂。

Ruptured appendicitis presenting as acute scrotal swelling in a 23-month-old toddler.

作者信息

Kynes J Matthew, Rauth Thomas P, McMorrow Sheila P

机构信息

Vanderbilt University School of Medicine, Nashville, Tennessee, USA.

出版信息

J Emerg Med. 2012 Jul;43(1):47-9. doi: 10.1016/j.jemermed.2011.05.045. Epub 2011 Aug 4.

DOI:10.1016/j.jemermed.2011.05.045
PMID:21820263
Abstract

BACKGROUND

Acute appendicitis is a common disease process in which timely diagnosis minimizes the risk of complications.

OBJECTIVES

This case illustrates one example of the range of clinical presentations of young children with acute appendicitis.

CASE REPORT

We describe a case in a young child presenting with an inguinal and scrotal mass that was ultimately due to perforated appendicitis with abscess formation.

CONCLUSIONS

In the emergency department evaluation of these children with inguinal or scrotal complaints, we maintain that intra-abdominal processes should be included in the differential.

摘要

背景

急性阑尾炎是一种常见的疾病过程,及时诊断可将并发症风险降至最低。

目的

本病例说明了小儿急性阑尾炎临床表现范围的一个例子。

病例报告

我们描述了一例幼儿病例,其表现为腹股沟和阴囊肿物,最终诊断为穿孔性阑尾炎伴脓肿形成。

结论

在急诊科对这些有腹股沟或阴囊主诉的儿童进行评估时,我们认为鉴别诊断应包括腹内病变。

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