Chung Janice, Berryman Ryan P
Creighton University, School of Medicine, Phoenix Regional Campus, Phoenix, AZ, USA.
Department of Internal Medicine, Saint Joseph's Hospital and Medical Center, Phoenix, AZ, USA.
Case Rep Med. 2020 Jul 19;2020:6959605. doi: 10.1155/2020/6959605. eCollection 2020.
Hyperemesis gravidarum (HG) is a severe subtype of nausea and vomiting in pregnancy (NVP) that typically affects women in their first trimester of pregnancy. Because HG is a diagnosis of exclusion, a thorough work-up ruling out organic causes must be performed. Herein, we describe a case of a pregnant woman with HG who presented with intractable pain mimicking appendicitis. While her clinical picture and ultrasound findings were only mildly consistent with appendicitis, the only therapy that provided pain relief was empiric antibiotic treatment that was prescribed due to a mildly elevated procalcitonin of 0.61. Thereby, the detection and treatment of concurrent organic causes is important as it may provide significant symptomatic relief in cases of concurrent HG.
妊娠剧吐（HG）是妊娠期恶心和呕吐（NVP）的一种严重亚型，通常影响妊娠早期的女性。由于HG是一种排除性诊断，必须进行全面检查以排除器质性病因。在此，我们描述了一例患有HG的孕妇病例，该孕妇表现出类似阑尾炎的顽固性疼痛。虽然她的临床表现和超声检查结果仅与阑尾炎有轻度相符，但唯一能缓解疼痛的治疗方法是经验性抗生素治疗，这是因为降钙素原轻度升高至0.61而开具的。因此，检测和治疗并发的器质性病因很重要，因为在并发HG的病例中它可能会显著缓解症状。
