复杂性急性阑尾炎？一种不常见的鉴别诊断。

Complicated acute appendicitis? An unusual differential.

作者信息

Cawich Shamir O, Hassranah Dale, Pooran Suresh, Dan Dilip, Narayansingh Vijay

机构信息

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.

出版信息

Trop Doct. 2015 Jan;45(1):49-51. doi: 10.1177/0049475514550064. Epub 2014 Sep 24.

DOI:10.1177/0049475514550064

PMID:25253669

Abstract

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.

摘要

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。