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一例罕见的阑尾肿物伪装成盆腔肿瘤并导致双侧肾积水的病例。

A rare case of an appendiceal mass masquerading as a pelvic tumour and causing bilateral hydronephrosis.

作者信息

Abdul Rashid Sn, Ab Hamid S, Mohamad Saini S, Muridan R

机构信息

Department of Radiology, University of Malaya Medical Centre, Kuala Lumpur, Malaysia.

出版信息

Biomed Imaging Interv J. 2012 Apr;8(2):e11. doi: 10.2349/biij.8.2.e11. Epub 2012 Apr 1.

DOI:10.2349/biij.8.2.e11
PMID:22970067
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3432257/
Abstract

Diagnosing acute appendicitis in children can be difficult due to atypical presenting symptoms. While there are reported cases of acute appendicitis or appendiceal masses causing unilateral hydronephrosis, bilateral hydronephrosis as a complication of appendiceal mass is very rare. We report a case of a child who presented with cardinal symptomatology associated with the urogenital tract. Ultrasound (US) investigation showed a pelvic mass causing bilateral hydronephrosis. An initial diagnosis of a pelvic teratoma was made based on the US and computed tomography (CT) scan findings. The final diagnosis of an appendiceal mass causing bilateral hydronephrosis was established intraoperatively.

摘要

由于儿童急性阑尾炎的症状不典型，诊断起来可能会很困难。虽然有报道称急性阑尾炎或阑尾肿块可导致单侧肾积水，但阑尾肿块并发双侧肾积水的情况非常罕见。我们报告一例患儿，其表现出与泌尿生殖道相关的主要症状。超声（US）检查显示盆腔肿块导致双侧肾积水。根据超声和计算机断层扫描（CT）结果，初步诊断为盆腔畸胎瘤。术中最终确诊为阑尾肿块导致双侧肾积水。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee70/3432257/d33c64bf5c60/biij-08-e11-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee70/3432257/25a0cc3927ca/biij-08-e11-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee70/3432257/0b118a21ded2/biij-08-e11-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee70/3432257/d33c64bf5c60/biij-08-e11-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee70/3432257/25a0cc3927ca/biij-08-e11-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee70/3432257/0b118a21ded2/biij-08-e11-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee70/3432257/d33c64bf5c60/biij-08-e11-g03.jpg

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本文引用的文献

1
Ultrasonography of normal and abnormal appendix in children.儿童正常及异常阑尾的超声检查
World J Radiol. 2011 Apr 28;3(4):85-91. doi: 10.4329/wjr.v3.i4.85.
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US features of the normal appendix and surrounding area in children.儿童正常阑尾及周围区域的超声特征。
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Hydronephrosis secondary to acute appendicitis in children.儿童急性阑尾炎继发肾积水
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Appendicitis masquerading as malignancy.伪装成恶性肿瘤的阑尾炎。
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