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在急性淋巴细胞白血病背景下，孤立性阑尾盲肠炎伪装成穿孔性阑尾炎。

Isolated appendiceal typhlitis masquerading as perforated appendicitis in the setting of acute lymphoblastic leukemia.

作者信息

McAteer Jarod P, Sanchez Sabrina E, Rutledge Joe C, Waldhausen John H T

机构信息

Division of Pediatric General and Thoracic Surgery, Department of Surgery, Seattle Children's Hospital and University of Washington, 4800 Sand Point Way NE, Seattle, WA, 98105, USA,

出版信息

Pediatr Surg Int. 2014 May;30(5):561-4. doi: 10.1007/s00383-014-3473-2. Epub 2014 Jan 22.

DOI:10.1007/s00383-014-3473-2
PMID:24448913
Abstract

Abdominal pain is common during chemotherapy for childhood leukemia. Clinically differentiating typhlitis from appendicitis can be difficult. We present an 8-year-old boy with abdominal pain in the setting of acute lymphoblastic leukemia and neutropenia. Following appendectomy for presumed appendicitis, pathology revealed appendiceal typhlitis. Diagnostic and treatment considerations are discussed.

摘要

腹痛在儿童白血病化疗期间很常见。临床上区分盲肠炎和阑尾炎可能很困难。我们报告一名8岁患有急性淋巴细胞白血病和中性粒细胞减少症的腹痛男孩。在因疑似阑尾炎进行阑尾切除术后，病理显示为阑尾盲肠炎。文中讨论了诊断和治疗方面的考虑因素。

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本文引用的文献

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Neutropenic colitis in children.儿童中性粒细胞减少性结肠炎。
J Surg Res. 2011 Sep;170(1):73-6. doi: 10.1016/j.jss.2011.01.041. Epub 2011 Feb 21.
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Typhilitis of the appendix presenting as an acute appendicitis in acute myeloid leukemia.急性髓系白血病中表现为急性阑尾炎的阑尾盲肠炎
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Acute myelogenous leukemia and acute leukemic appendicitis: a case report.急性髓系白血病合并急性阑尾炎：病例报告。
2000年接受抗肿瘤化疗儿童的胃肠道和肝脏感染
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Diagnosis, incidence, and outcomes of suspected typhlitis in oncology patients--experience in a tertiary pediatric surgical center in the United Kingdom.肿瘤患者疑似盲肠炎的诊断、发病率及预后——英国一家三级儿科外科中心的经验
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Sometimes appendicitis can wait.有时阑尾炎可以等待治疗。
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A case of leukemia of the appendix presenting as acute appendicitis.一例表现为急性阑尾炎的阑尾白血病病例。
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The pathology of acute appendicitis.急性阑尾炎的病理学
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Leukaemia and lymphoma of the appendix presenting as acute appendicitis or acute abdomen. Four case reports with a review of the literature.以急性阑尾炎或急腹症形式表现的阑尾白血病和淋巴瘤。4例病例报告并文献复习
J Cancer Res Clin Oncol. 1997;123(10):560-4. doi: 10.1007/s004320050105.
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The acute abdomen in the immunologically compromised child.
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