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疑似肉芽肿性小肠结肠炎,酷似阑尾炎。

Suspicious granulomatous enterocolitis mimicking appendicitis.

作者信息

Richardson Tom, Jones Michael, Akhtar Youssaf, Pollard James

机构信息

General Surgery, Royal Bolton Hospital, Bolton NHS Foundation Trust, Bolton, UK.

出版信息

BMJ Case Rep. 2018 Oct 14;2018:bcr-2018-224177. doi: 10.1136/bcr-2018-224177.

Abstract

We present the case of a fit and well 12-year-old boy who presented with signs and symptoms suggestive of appendicitis. On laparoscopy, he was found to have a sinister-looking right iliac fossa mass with associated mesenteric lymphadenopathy. He proceeded to have an oncological right hemicolectomy, while the subsequent histology returned an unexpected result. The aim of this report is to highlight an unusual and complex clinical presentation in a young patient presenting with right iliac fossa pain.

摘要

我们报告一例12岁健康男孩的病例,该男孩出现提示阑尾炎的体征和症状。腹腔镜检查时,发现他右下腹有一个外观可疑的肿块,并伴有肠系膜淋巴结病。他接受了肿瘤性右半结肠切除术,而随后的组织学检查结果出人意料。本报告的目的是强调一名出现右下腹疼痛的年轻患者的不寻常且复杂的临床表现。

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WSES Jerusalem guidelines for diagnosis and treatment of acute appendicitis.WSES耶路撒冷急性阑尾炎诊断与治疗指南。
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