酷似急性阑尾炎的特发性大网膜节段性梗死：一例报告
Idiopathic segmental infarction of the omentum mimicking acute appendicitis: A case report.
作者信息
Gupta Rahul, Farhat Waad, Ammar Houssem, Azzaza Mohamed, Lagha Sami, Cheikh Yesser Ben, Mabrouk Mohamed Ben, Ali Ali Ben
机构信息
Department of Gastrointestinal Surgery, Synergy Institute of Medical Sciences, Dehradun, India.
Department of General and Digestive Surgery, Sahloul Hospital, University of Medicine of Sousse, University of Sousse, Tunisia.
出版信息
Int J Surg Case Rep. 2019;60:66-68. doi: 10.1016/j.ijscr.2019.03.050. Epub 2019 Apr 6.
INTRODUCTION
Omentum is a well vascularized organ. Omentum infarction is uncommon. Most of the cases are secondary due to torsion, intra-abdominal infections and vascular thrombosis. Primary idiopathic segmental omental infarction is rare.
PRESENTATION OF CASE
A 26-year-old male presented with acute onset right iliac fossa pain mimicking acute appendicitis. On radiological imaging, early acute appendicitis was suspected. On diagnostic laparoscopy, appendix appeared normal and there was idiopathic infarction of a part of the greater omentum lying close to the cecum. Patient underwent laparoscopic appendectomy with excision of the diseased segment of the omentum and had uneventful recovery.
CONCLUSION
Idiopathic omental infarction should be included in the differential diagnoses while treating patient with acute abdomen.
引言
大网膜是一个血管丰富的器官。大网膜梗死并不常见。大多数病例是由扭转、腹腔内感染和血管血栓形成继发引起的。原发性特发性节段性大网膜梗死很少见。
病例介绍
一名26岁男性因急性右下腹疼痛就诊，症状类似急性阑尾炎。影像学检查怀疑为早期急性阑尾炎。诊断性腹腔镜检查时，阑尾外观正常，靠近盲肠的大网膜一部分出现特发性梗死。患者接受了腹腔镜阑尾切除术，并切除了大网膜病变部分，术后恢复顺利。
结论
在治疗急腹症患者时，应将特发性大网膜梗死纳入鉴别诊断。
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