一名成年未诊断出先天性肠道旋转不良患者以急性胃炎表现的急性阑尾炎：病例报告
Acute appendicitis presenting as acute gastritis in an adult patient with undiagnosed congenital gut malrotation: a case report.
作者信息
Jones Andrew David, Cassidy David D
机构信息
Department of Emergency Medicine, Orlando Regional Medical Center, Orlando, FL 32806, USA.
出版信息
J Emerg Med. 2013 Feb;44(2):e153-5. doi: 10.1016/j.jemermed.2012.01.032. Epub 2012 Mar 28.
BACKGROUND
We report a case of an atypical presentation of acute appendicitis in an adult due to an undiagnosed congenital gut malrotation.
OBJECTIVE
The obvious benefit of observation with serial examinations followed by the use of computed tomography (CT) is discussed in aiding in the diagnosis for atypical presentations of appendicitis.
CASE REPORT
A 45-year-old man who presented with epigastric pain and vomiting was diagnosed with acute left-sided appendicitis on CT scan. The patient's appendix was located in the left lower quadrant of the abdomen due to undiagnosed congenital gut malrotation, thus resulting in an atypical presentation of a common illness.
CONCLUSION
Observation with serial examinations, followed by CT scanning if indicated, is an invaluable strategy to use in diagnosing atypical presentations of common pathology.
背景
我们报告一例成人急性阑尾炎的非典型表现病例，病因是未被诊断出的先天性肠道旋转不良。
目的
讨论通过连续检查进行观察并随后使用计算机断层扫描（CT）的明显益处，以辅助诊断阑尾炎的非典型表现。
病例报告
一名45岁男性，表现为上腹部疼痛和呕吐，CT扫描诊断为急性左侧阑尾炎。由于未被诊断出的先天性肠道旋转不良，患者的阑尾位于左下腹，从而导致一种常见疾病的非典型表现。
结论
进行连续检查观察，必要时进行CT扫描，是诊断常见病理非典型表现的一种非常有价值的策略。
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