Winterbottom Christopher Toby
King's College Hospital London, Emergency Department, King's College Hospital, Denmark Hill, London, SE5 9RS, UK.
BMJ Case Rep. 2010;2010. doi: 10.1136/bcr.11.2009.2446. Epub 2010 Apr 5.
This article describes a case of a rare malignant neoplasm presenting to the emergency department with common symptomatology and its subsequent identification using a simple physical examination technique. Discussion includes a description of this rare soft tissue sarcoma and a consideration of the value of the psoas sign as a part of the routine abdominal exam to detect intra-abdominal and retroperitoneal pathology. In conclusion, this article acts as a reminder to all clinicians that uncommon and significant pathology may present to the emergency department masquerading as a common, seemingly benign, complaint, but can be clinically identified using simple techniques available to all and rapidly investigated using appropriate special investigations.
本文描述了一例罕见恶性肿瘤病例，该病例以常见症状就诊于急诊科，并随后通过一种简单的体格检查技术得以确诊。讨论内容包括对这种罕见软组织肉瘤的描述，以及对腰大肌征作为常规腹部检查一部分以检测腹内和腹膜后病变的价值的考量。总之，本文提醒所有临床医生，不常见但严重的病变可能以常见、看似良性的主诉形式出现在急诊科，但可通过所有人都能掌握的简单技术进行临床识别，并通过适当的特殊检查迅速展开调查。
