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腹部X线显示十二指肠憩室穿孔伴轻微腹膜后积气

Perforated Duodenal Diverticulum with Subtle Pneumoretroperitoneum on Abdominal X-Ray.

作者信息

Shen Yuzeng, Leong Mark Kwok Fai

机构信息

Department of Emergency Medicine, Singapore General Hospital, Singapore.

出版信息

Case Rep Emerg Med. 2017;2017:7089573. doi: 10.1155/2017/7089573. Epub 2017 Oct 19.

DOI:10.1155/2017/7089573
PMID:29201469
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5671692/
Abstract

Abdominal pain is one of the most common presenting complaints at the Emergency Department (ED). Given the myriad of possible differential diagnoses for abdominal pain, it becomes more important to diagnose conditions requiring emergent surgical intervention early. We present a case of an elderly male patient with abdominal pain secondary to perforated hollow viscus, subtle evidence of pneumoretroperitoneum on the initial supine abdominal X-ray, and review the signs of pneumoperitoneum and pneumoretroperitoneum on plain abdominal X-rays.

摘要

腹痛是急诊科最常见的就诊主诉之一。鉴于腹痛可能的鉴别诊断众多，早期诊断需要紧急手术干预的病症变得更为重要。我们报告一例老年男性患者，其因中空脏器穿孔继发腹痛，仰卧位腹部X线平片最初显示有轻微的腹膜后积气迹象，并回顾腹部X线平片上的气腹和气腹膜后积气征象。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e48b/5671692/e6732e6ed5c1/CRIEM2017-7089573.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e48b/5671692/349ae9e2fff0/CRIEM2017-7089573.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e48b/5671692/689ec43efc5f/CRIEM2017-7089573.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e48b/5671692/f7133f2e5df4/CRIEM2017-7089573.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e48b/5671692/beb074fc316c/CRIEM2017-7089573.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e48b/5671692/2d624b1a5376/CRIEM2017-7089573.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e48b/5671692/e6732e6ed5c1/CRIEM2017-7089573.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e48b/5671692/349ae9e2fff0/CRIEM2017-7089573.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e48b/5671692/689ec43efc5f/CRIEM2017-7089573.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e48b/5671692/f7133f2e5df4/CRIEM2017-7089573.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e48b/5671692/beb074fc316c/CRIEM2017-7089573.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e48b/5671692/2d624b1a5376/CRIEM2017-7089573.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e48b/5671692/e6732e6ed5c1/CRIEM2017-7089573.006.jpg

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