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急性网膜附件炎:急性腹痛的一个被忽视的病因。

Acute Epiploic Appendagitis: An Overlooked Cause of Acute Abdominal Pain.

作者信息

Qudsiya Zainab, Lerner David

机构信息

Internal Medicine, Gulf Medical University, Ajman, ARE.

Department of Radiology: Abdominal Imaging, University of Washington, Seattle, USA.

出版信息

Cureus. 2020 Sep 29;12(9):e10715. doi: 10.7759/cureus.10715.

Abstract

Acute epiploic appendagitis is a benign condition caused by inflammation of the epiploic appendages that are serosal lined outpouchings of the colon lying adjacent to the tenia coli. This rare condition has non-specific clinical findings and is frequently misdiagnosed as either acute diverticulitis or acute appendicitis. However, unlike other surgical causes of acute abdomen, epiploic appendagitis is a self-limited condition and resolves with conservative management. CT of the abdomen plays a vital role in diagnosing this condition and excluding other causes of acute abdomen. This case report highlights the importance of being aware of this rare condition and its consideration in the differential diagnosis of acute lower abdominal pain to avoid unnecessary hospitalization and surgery.

摘要

急性网膜附件炎是一种由网膜附件炎症引起的良性疾病,网膜附件是结肠浆膜内衬的憩室,位于结肠带附近。这种罕见疾病具有非特异性临床表现,常被误诊为急性憩室炎或急性阑尾炎。然而,与其他急性腹痛的外科病因不同,网膜附件炎是一种自限性疾病,通过保守治疗即可痊愈。腹部CT在诊断该病及排除其他急性腹痛病因方面起着至关重要的作用。本病例报告强调了认识这种罕见疾病的重要性,以及在急性下腹痛的鉴别诊断中考虑该病以避免不必要的住院和手术的重要性。

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