Section of Pediatric Surgery, Department of Surgery, University of Illinois College of Medicine at Peoria, Children's Hospital of Illinois, Peoria, IL, USA.
Surg Clin North Am. 2012 Jun;92(3):505-26, vii. doi: 10.1016/j.suc.2012.03.011.
Three of the most common causes of surgical abdominal pain in pediatric patients include appendicitis, Meckel diverticulum, and intussusception. All 3 can present with right lower quadrant pain, and can lead to significant morbidity and even mortality. Although ultrasound is the preferred method of diagnosis with appendicitis and intussusception, considerable variety exists in the modalities needed in the diagnosis of Meckel diverticulum. This article discusses the pathways to diagnosis, the modes of treatment, and the continued areas of controversy.
小儿外科腹痛的三个最常见原因包括阑尾炎、梅克尔憩室和肠套叠。这三种情况都可能表现为右下腹痛，并可能导致严重的发病率，甚至死亡率。虽然超声是阑尾炎和肠套叠的首选诊断方法，但梅克尔憩室的诊断所需的方式存在相当大的差异。本文讨论了诊断途径、治疗方式以及仍存在争议的领域。
