粘连性慢性腹痛：关于卡内特试验诊断价值的病例报告
Adhesion-induced chronic abdominal pain: a case report on the diagnostic value of Carnett's test.
作者信息
Kijima Tsunetaka, Hyakudomi Ryoji, Hashimoto Tatsuya, Kusaka Akari, Nakatani Toshihiko, Ishibashi Yutaka
机构信息
Department of General Medicine, Faculty of Medicine, Shimane University, 89-1, Enyacho, Izumo City, Shimane, 693-8501, Japan.
Department of Digestive and General Surgery, Faculty of Medicine, Shimane University, 89-1, Enyacho, Izumo City, Shimane, 693-8501, Japan.
出版信息
J Med Case Rep. 2019 Apr 18;13(1):93. doi: 10.1186/s13256-019-2026-7.
BACKGROUND
Chronic abdominal pain is a common clinical problem. However, diagnosing chronic abdominal pain often requires detailed diagnostic evaluations in addition to sufficient history taking and physical examination, owing to its uncertain etiology.
CASE PRESENTATION
We report a case of a 36-year-old man with chronic abdominal pain originating from postoperative adhesions. Postoperative adhesions are common phenomena, and abdominal surgery can cause severe abdominal pain, the source of which can be difficult to detect. Carnett's test is useful to detect abdominal wall tenderness and to determine the affected abdominal quadrant. Incorporating its use with a detailed chronological clinical history contributes to the improvement of diagnostic accuracy. In addition to the above-mentioned information, attention to subtle imaging findings may provide greater diagnostic accuracy.
CONCLUSIONS
Abdominal pain induced by postoperative adhesions was reduced by laparoscopic adhesiolysis. Carnett's test is an effective tool for evaluating pain and detecting its cause.
背景
慢性腹痛是常见的临床问题。然而，由于其病因不明，诊断慢性腹痛除了需要充分的病史采集和体格检查外，往往还需要详细的诊断评估。
病例报告
我们报告一例36岁男性因术后粘连引起慢性腹痛的病例。术后粘连是常见现象，腹部手术可导致严重腹痛，其疼痛来源可能难以检测。卡内特试验有助于检测腹壁压痛并确定受影响的腹部象限。将其与详细的临床病史相结合有助于提高诊断准确性。除上述信息外，关注细微的影像学表现可能会提供更高的诊断准确性。
结论
腹腔镜粘连松解术减轻了术后粘连引起的腹痛。卡内特试验是评估疼痛及其病因的有效工具。
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