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评估右下象限疼痛的患者。

Evaluating the Patient with Right Lower Quadrant Pain.

作者信息

Patel Neel B, Wenzke Daniel R

机构信息

Jupiter Imaging Associates, Sheridan Healthcorp, Jupiter, FL, USA.

NorthShore University HealthSystem, University of Chicago, Pritzker School of Medicine, 2650 Ridge Avenue, Evanston, IL 60201, USA.

出版信息

Radiol Clin North Am. 2015 Nov;53(6):1159-70. doi: 10.1016/j.rcl.2015.06.004. Epub 2015 Aug 13.

Abstract

Right lower quadrant pain is one of the most common indications for imaging evaluation of the abdomen in the emergency department setting. This article reviews important imaging findings associated with acute appendicitis as well as major differential considerations including: mesenteric adenitis, Meckel diverticulum, neutropenic colitis, right-sided diverticulitis, epiploic appendagitis, omental infarction, and inflammatory bowel diseaseRight lower quadrant pain is one of the most common indications for imaging evaluation of the abdomen in the emergency department setting. This article reviews important imaging findings associated with acute appendicitis as well as major differential considerations including: mesenteric adenitis, Meckel diverticulum, neutropenic colitis, right-sided diverticulitis, epiploic appendagitis, omental infarction, and inflammatory bowel disease.

摘要

右下象限疼痛是急诊科对腹部进行影像学评估最常见的指征之一。本文回顾了与急性阑尾炎相关的重要影像学表现以及主要的鉴别诊断考虑因素,包括:肠系膜淋巴结炎、梅克尔憩室、中性粒细胞减少性结肠炎、右侧憩室炎、网膜性阑尾炎、网膜梗死和炎症性肠病。右下象限疼痛是急诊科对腹部进行影像学评估最常见的指征之一。本文回顾了与急性阑尾炎相关的重要影像学表现以及主要的鉴别诊断考虑因素,包括:肠系膜淋巴结炎、梅克尔憩室、中性粒细胞减少性结肠炎、右侧憩室炎、网膜性阑尾炎、网膜梗死和炎症性肠病。

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