Naccour Jessica, Sabra Hassan, Alimoradi Mersad, El-Helou Etienne, Haddad Marwan M, Bitar Henri
Emergency Medicine Department, Faculty of Medical Sciences, Lebanese University, Mount Lebanon, Lebanon.
General Surgery Department, Faculty of Medical Sciences, Lebanese University, Mount Lebanon, Lebanon.
Int J Surg Case Rep. 2020;75:214-218. doi: 10.1016/j.ijscr.2020.09.046. Epub 2020 Sep 14.
Community acquired pneumonia usually presents with typical clinical and radiological signs allowing for a quick diagnosis. Nevertheless, pneumonia can infrequently mimic acute abdominal pathologies, leading to invasive unnecessary procedures.
We report a case of a 44-year-old man, previously healthy, admitted with a diagnosis of a surgical abdomen, investigated with an exploratory laparoscopy after inconclusive imaging and failure of improvement. Clinical evolution revealed the diagnosis of pneumonia.
Community acquired pneumonia is a frequently encountered condition. While its clinical presentation is usually related to the respiratory system, extrapulmonary manifestations, including abdominal pain in the pediatric population, are well documented. However, solely severe acute abdominal pain, being as the major presentation, without respiratory symptoms or radiological signs is very rarely reported.
Community acquired pneumonia can sometimes be a challenging diagnosis. Acute abdominal pain mimicking a surgical abdomen is an infrequent presentation but can confuse physicians when no radiological or clinical signs of pneumonia are present.
社区获得性肺炎通常表现出典型的临床和影像学特征，便于快速诊断。然而，肺炎偶尔会酷似急性腹部疾病，导致进行不必要的侵入性检查。
我们报告一例44岁男性病例，该患者既往健康，因诊断为外科急腹症入院，在影像学检查结果不明确且病情无改善后接受了 exploratory laparoscopy（此处可能有误，推测是“探查性腹腔镜检查”）。临床病情演变后确诊为肺炎。
社区获得性肺炎是一种常见疾病。虽然其临床表现通常与呼吸系统有关，但肺外表现，包括儿科人群中的腹痛，已有充分记录。然而，仅以严重急性腹痛作为主要表现，且无呼吸道症状或影像学特征的情况非常罕见。
社区获得性肺炎有时诊断具有挑战性。酷似外科急腹症的急性腹痛是一种罕见表现，但在没有肺炎的影像学或临床特征时可能会使医生感到困惑。
