Jones Stephen, Narh-Martey Patrick, Patel Mitun, Dhaliwal Amanpreet, Persson Jessica, Orr Denis
Department of Surgery, Western Reserve Health Education, USA.
Case Rep Med. 2014;2014:764869. doi: 10.1155/2014/764869. Epub 2014 Apr 22.
The diagnosis of acute appendicitis can be somewhat obscure in a patient that presents with right lower quadrant abdominal pain. The advancement and ease of imaging have made CT scanning readily available in the emergency department. Management can be challenging when the patient has a high likelihood of appendicitis based on clinical suspicion and negative CT scan. The purpose of this case report is to demonstrate how an obstructing bezoar caused an appendicitis-like syndrome in a patient with negative CT scan and clinical diagnosis of acute appendicitis. This case report will discuss the appendicitis-like syndrome of an obstructing bezoar and an approach at management.
对于出现右下腹腹痛的患者,急性阑尾炎的诊断可能会有些模糊不清。影像学技术的进步和便捷性使得急诊部门能够轻易进行CT扫描。当根据临床怀疑患者患阑尾炎可能性很大但CT扫描结果为阴性时,治疗可能具有挑战性。本病例报告的目的是展示一个阻塞性胃石如何在CT扫描阴性且临床诊断为急性阑尾炎的患者中引发类似阑尾炎的综合征。本病例报告将讨论阻塞性胃石引起的类似阑尾炎综合征及治疗方法。