盲肠憩室炎的一种不寻常表现。
An unusual presentation of caecal diverticulitis.
作者信息
Kachroo Naveen, Sivakumar Rangasamy, Hakim Abdul, Semeraro David, Speake William
机构信息
Derby City General Hospital, Surgery, Uttoxeter Road, Derby, DE22 3NE, UK.
出版信息
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.03.2009.1702. Epub 2009 Sep 20.
Abstract
Solitary caecal diverticulitis is a rare and often misdiagnosed cause of abdominal pain. A 63-year-old Caucasian woman was admitted with a 3-day history of left upper quadrant pain and constipation. Preoperative imaging identified a possible transverse colonic tumour. At laparotomy a long, mobile ascending colon resulted in the caecal pole lying in the left upper quadrant and an inflamed gangrenous solitary caecal diverticulum was found. A right hemicolectomy was performed and the patient recovered promptly.
摘要
孤立性盲肠憩室炎是一种罕见且常被误诊的腹痛病因。一名63岁的白种女性因左上腹疼痛和便秘3天入院。术前影像学检查发现可能是横结肠肿瘤。剖腹手术时发现升结肠长且可活动，导致盲肠极位于左上腹，并发现一个发炎坏疽的孤立性盲肠憩室。进行了右半结肠切除术，患者迅速康复。
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本文引用的文献
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Solitary caecal diverticulitis as an unusual cause of a right iliac fossa mass: a case report.孤立性盲肠憩室炎作为右下腹肿块的罕见病因：一例报告
J Med Case Rep. 2007 Nov 10;1:132. doi: 10.1186/1752-1947-1-132.
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Acute presentation of a solitary caecal diverticulum: a case report.孤立性盲肠憩室的急性表现：一例病例报告。
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Caecal-diverticulitis: a rare differential diagnosis for right-sided lower abdominal pain.盲肠憩室炎：一种罕见的右侧下腹部疼痛鉴别诊断疾病。
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Aggressive resection is indicated for cecal diverticulitis.盲肠憩室炎需行积极的切除术。
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