Sierakowski Kyra, Pattichis Andrew, Russell Patrick, Wattchow David
Women's & Children's Hospital, Adelaide, South Australia, Australia.
Flinders Medical Centre, Adelaide, South Australia, Australia.
BMJ Case Rep. 2016 Feb 11;2016:bcr2015212485. doi: 10.1136/bcr-2015-212485.
We present a case of a man who experienced night sweats, abdominal pain and fever for over 3 months, with incomplete response to broad-spectrum intravenous antibiotics. Although CT imaging was insufficient to identify the cause for his chronic abdominal pain, the abnormality of a 'misty mesentery' was crucial in guiding further investigation. The final diagnosis of chronic appendicitis was made through laparoscopic and pathological examination. This case highlights the utility of a collaborative diagnostic effort between disciplines. Chronic appendicitis can cause lingering abdominal pain. Early recognition and appropriate referral can save patients months and even years of unnecessary suffering.
我们报告一例男性患者，其盗汗、腹痛和发热超过3个月，对广谱静脉抗生素治疗反应不完全。尽管CT成像不足以确定其慢性腹痛的病因，但“模糊肠系膜”异常对指导进一步检查至关重要。最终通过腹腔镜检查和病理检查确诊为慢性阑尾炎。该病例突出了多学科协作诊断的作用。慢性阑尾炎可导致持续性腹痛。早期识别并适当转诊可使患者避免数月甚至数年的不必要痛苦。
