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骨样骨瘤伪装为胆石症:一例报告。

Osteoid Osteoma Masquerading as Cholelithiasis: A Case Report.

机构信息

University of Virginia School of Medicine, Charlottesville, Virginia.

Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio.

出版信息

JBJS Case Connect. 2020 Jan-Mar;10(1):e0090. doi: 10.2106/JBJS.CC.19.00090.

Abstract

CASE

We present a case report of an 18-year-old woman who presented to a general surgeon with a several month history of intermittent right upper quadrant pain, strongly suggestive of symptomatic cholelithiasis and underwent a laparoscopic cholecystectomy. She was eventually found to have an osteoid osteoma (OO) of the right eighth rib. She was treated with radiofrequency ablation with complete resolution of symptoms 1 month after treatment.

CONCLUSIONS

In cases where a patient's age and risk factors would make the diagnosis of cholelithiasis less likely, OO should be added to the differential diagnosis of symptomatic right upper quadrant pain.

摘要

病例

我们报告了 1 例 18 岁女性患者,其因间歇性右上腹疼痛就诊于普外科医生,高度提示症状性胆石症,并接受了腹腔镜胆囊切除术。最终发现她的右侧第 8 肋骨有骨样骨瘤(OO)。她接受了射频消融治疗,治疗后 1 个月症状完全缓解。

结论

如果患者的年龄和危险因素使胆石症的诊断不太可能,那么 OO 应被添加到有症状的右上腹痛的鉴别诊断中。

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