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急性网膜附件炎:诊断与腹腔镜治疗方法

Acute epiploic appendigitis: Diagnostic and laparoscopic approach.

作者信息

Tabbara Toufik A, Alassaf Omar Y, Kaouas Mujtaba C

机构信息

General Surgery Department, University Hospital Sharjah (UHS), Sharjah, P.O. Box 341055, UAE.

College of Medicine, University of Sharjah, Sharjah, UAE.

出版信息

Int J Surg Case Rep. 2018;44:157-160. doi: 10.1016/j.ijscr.2018.02.003. Epub 2018 Feb 23.

Abstract

INTRODUCTION

Acute epiploic appendagitis is a relatively rare disease that mimics a varied number of diseases.

PRESENTATION OF CASE

In this paper we report a 24-year-old male who presented with epiploic appendagitis that might have been misdiagnosed by physicians due to its equivocal presentation imitating more common acute abdominal conditions like acute appendicitis or acute diverticulitis depending on the site of the inflamed appendage.

DISCUSSION

The clinical presentation, investigations findings and both conservative and surgical interventions of the patient are mentioned within the report.

CONCLUSION

Radiological imaging like enhanced CT scan of the abdomen has an important role in differentiating acute epiploic appendigitis from other acute abdominal conditions along with the proper physical examination, thus promoting conservative management and avoiding surgery. However, failure of conservative management might lead to the surgical intervention.

摘要

引言

急性网膜附件炎是一种相对罕见的疾病,可模仿多种疾病。

病例介绍

在本文中,我们报告了一名24岁男性,其患有网膜附件炎,由于其模棱两可的表现,模仿了更常见的急性腹部疾病,如急性阑尾炎或急性憩室炎,具体取决于发炎附件的部位,可能被医生误诊。

讨论

报告中提到了患者的临床表现、检查结果以及保守和手术干预措施。

结论

腹部增强CT扫描等放射学成像在区分急性网膜附件炎与其他急性腹部疾病以及进行适当的体格检查方面具有重要作用,从而促进保守治疗并避免手术。然而,保守治疗失败可能导致手术干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6cb/5910502/a8af78bcb9db/gr1.jpg

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