Cawich Shamir O, Hassranah Dale, Pooran Suresh, Dan Dilip, Narayansingh Vijay
Hepatobiliary Surgeon, Department of Clinical Surgical Sciences, University of the West Indies, St Augustine Campus, Trinidad & Tobago
Consultant Surgeon, Department of Clinical Surgical Sciences, University of the West Indies, St Augustine Campus, Trinidad & Tobago.
Trop Doct. 2015 Jan;45(1):49-51. doi: 10.1177/0049475514550064. Epub 2014 Sep 24.
Acute appendicitis is a common surgical diagnosis but several differential diagnoses exist and should be considered. Internal concealment is one such diagnosis. We present a case of a young man taken to the operating room with a preoperative diagnosis of complicated acute appendicitis. A ruptured caecum was encountered and several free-floating drug pellets were present. Attending doctors should consider this differential in the high prevalence areas and, whenever encountered, they should strongly consider early reporting.
急性阑尾炎是一种常见的外科诊断，但存在几种鉴别诊断情况，应予以考虑。隐匿性体内异物就是其中一种诊断。我们报告一例术前诊断为复杂性急性阑尾炎的年轻男性患者，术中发现盲肠破裂且有多个游离的药丸。在高流行地区，主治医生应考虑这种鉴别诊断，一旦遇到，应强烈考虑尽早报告。
