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急性阑尾炎所致肠梗阻

Intestinal Obstruction due to Acute Appendicitis.

作者信息

Hong Duc Pham, Minh Xuan Ngo, Huu Thuyet Nguyen, Quang Huy Huynh

机构信息

Department of Radiology, Ha Noi Medical University, Ha Noi, Vietnam.

Department of Radiology, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Vietnam.

出版信息

Case Rep Gastroenterol. 2020 Jul 22;14(2):346-353. doi: 10.1159/000508435. eCollection 2020 May-Aug.

Abstract

Acute appendicitis has been proven to be a usual cause of mechanical small bowel obstruction since 1901, but there has been very little specific research on this subject. It usually occurs as an effect of adhesion because of periappendicular inflammation. Although previous studies exist, this presentation of acute appendicitis is not widely identified, which might lead to delays in making the right diagnosis and initiating treatment. We herein report a 17-year-old male patient who presented with the clinical manifestations of intestinal obstruction and fever for 3 days. Preoperative ultrasound and subsequent computed tomography were performed. On laparotomy, an obstructed bowel was seen, and the appendix was recognized to be the cause. We herein report a case of intestinal obstruction due to acute appendicitis and present an overview of the literature.

摘要

自1901年以来,急性阑尾炎已被证实是机械性小肠梗阻的常见原因,但关于这一主题的具体研究很少。它通常是由于阑尾周围炎症导致粘连的结果。尽管此前已有相关研究,但急性阑尾炎的这种表现并未得到广泛认识,这可能导致诊断延误和治疗延迟。我们在此报告一名17岁男性患者,他出现肠梗阻和发热的临床表现达3天。术前进行了超声检查及随后的计算机断层扫描。剖腹手术时,发现一段肠管梗阻,阑尾被确认为病因。我们在此报告一例因急性阑尾炎导致肠梗阻的病例,并对相关文献进行综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4968/7443656/dcc2ec84818d/crg-0014-0346-g01.jpg

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