Ramzee Ahmed Faidh, Sameer Mohammad, Khan Mohammad Burhan, Muhammad Ali Syed, Zarour Ahmad
Surgery, Hamad Medical Corporation, Doha, QAT.
Acute Care Surgery, Hamad Medical Corporation, Doha, QAT.
Cureus. 2020 Nov 17;12(11):e11523. doi: 10.7759/cureus.11523.
Abdominal symptoms in patients with hematological malignancies can occur due to an array of pathologies. Two diagnoses with similar presentation albeit, generally opposite treatment modalities, are typhlitis (inflammation of cecum) and acute appendicitis. Both diagnoses have to be kept in mind in such a patient presenting with right lower quadrant (RLQ) pain. Sagacious clinical judgment along with the aid of radiological imaging may help in differentiating between the two conditions. We present a case of a young male with chronic myeloid leukemia (CML) on imatinib, diagnosed and started on therapy four years earlier, who presented with symptoms of RLQ pain not typical of acute appendicitis. The accurate diagnosis was made with the assistance of ultrasound (US) imaging and prompt surgical therapy was instituted followed by a smooth postoperative recovery.
血液系统恶性肿瘤患者的腹部症状可能由一系列病理情况引起。盲肠炎（盲肠炎症）和急性阑尾炎这两种诊断表现相似，但治疗方式通常相反。对于出现右下腹（RLQ）疼痛的此类患者，必须同时考虑这两种诊断。明智的临床判断以及放射影像学检查有助于区分这两种情况。我们报告一例年轻男性慢性髓系白血病（CML）患者，服用伊马替尼，4年前确诊并开始治疗，此次出现并非典型急性阑尾炎的右下腹疼痛症状。借助超声（US）成像做出了准确诊断，并立即进行了手术治疗，术后恢复顺利。
