[影像学在网膜附件炎诊断中的作用]
[Contribution of imaging in the diagnosis of epiploic appendagitis].
作者信息
Daghfous A, Bouzaïdi K, Ayari H, Yahmadi A, Zoghlemi A, Rezgui Marhoul L
机构信息
Service d'imagerie médicale, centre de traumatologie et des grands brûlés, avenue du Grand Mageb Nabeul 8000, Tunis, Tunisie.
Service d'imagerie médicale, hôpital Taher Maamouri, Nabeul, Tunisie.
出版信息
Rev Med Interne. 2014 Sep;35(9):565-9. doi: 10.1016/j.revmed.2013.07.008. Epub 2013 Aug 24.
INTRODUCTION
Primary epiploic appendagitis is known to be a rare finding among causes of acute abdomen. Depending on location, it may mimic several disorders such as colonic diverticulitis and acute appendicitis. Diagnosis is sometimes performed during surgery.
METHODS
This is a retrospective descriptive study. The authors report the contribution of imaging for the diagnosis of appendagitis in seven patients investigated between July 2010 and April 2013 by abdominal and pelvic ultrasound or computed tomography (CT).
RESULTS
CT scan confirmed the diagnosis in six patients avoiding unnecessary surgery and hospitalization. The seventh patient was a pregnant woman in whom the diagnosis of appendagitis was made during surgery for appendicitis.
CONCLUSION
Appendagitis is a rare cause of acute abdominal pain. Outcome is favorable with medical treatment only. Abdominal ultrasound and CT are helpful diagnostic tests avoiding useless surgical procedure.
引言
原发性网膜附件炎是急性腹痛病因中一种罕见的病症。根据其位置，它可能会与多种疾病相似，如结肠憩室炎和急性阑尾炎。有时在手术过程中才能做出诊断。
方法
这是一项回顾性描述性研究。作者报告了2010年7月至2013年4月期间，通过腹部和盆腔超声或计算机断层扫描（CT）对7例患者进行网膜附件炎诊断时影像学检查的作用。
结果
CT扫描确诊了6例患者，避免了不必要的手术和住院治疗。第7例患者是一名孕妇，在进行阑尾炎手术时确诊为网膜附件炎。
结论
网膜附件炎是急性腹痛的罕见病因。仅通过药物治疗效果良好。腹部超声和CT是有助于避免不必要手术的诊断性检查。
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