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一名儿童同时发生大网膜梗死和急性阑尾炎。

Simultaneous omental infarction and acute appendicitis in a child.

作者信息

Koay H T, Mahmoud H E S

机构信息

KK Women's and Children's Hospital, Singapore, 100 Bukit Timah Road, Singapore 229899.

出版信息

Med J Malaysia. 2015 Feb;70(1):42-4.

Abstract

It is crucial to realize that both omental infarction and acute appendicitis can occur simultaneously in the children as both diseases are managed differently. Omental infarction itself is rare in the pediatric group, and its association with acute appendicitis is even rarer. Both diseases usually present with right sided abdominal pain. Ultrasound is the choice of imaging modality in the investigation of abdominal pain in the children. It should not be content if omental infarction is detected, whilst the normal appendix is not seen. We reported a case of simultaneous omental infarction and acute appendicitis in a child who presented with 3 days history of right sided abdominal pain. It was diagnosed preoperatively by ultrasound. Prompt surgical intervention was proceeded and the child made uneventful recovery.

摘要

必须认识到,大网膜梗死和急性阑尾炎在儿童中可能同时发生,因为这两种疾病的治疗方法不同。大网膜梗死本身在儿科群体中很少见,其与急性阑尾炎的关联更为罕见。这两种疾病通常都表现为右侧腹痛。超声是儿童腹痛检查中首选的成像方式。如果检测到了大网膜梗死而未发现正常阑尾,不应就此满足。我们报告了一例患有右侧腹痛3天病史的儿童同时发生大网膜梗死和急性阑尾炎的病例。术前通过超声确诊。随后进行了及时的手术干预,患儿恢复顺利。

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