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网膜附件炎——急性下腹痛的罕见病因。

Epiploic appendagitis - a rare cause of acute lower abdominal pain.

作者信息

Gaur Shivam, Jawahar Rutuja Pawde, Prasad Ramchandra, Prabakaran M

机构信息

Department Of Radiology, Sree Balaji Medical College and Hospital, 7 Works Road, Chromepet, Chennai, Tamil Nadu, 600044, India.

出版信息

Radiol Case Rep. 2021 Mar 10;16(5):1144-1147. doi: 10.1016/j.radcr.2021.02.026. eCollection 2021 May.

DOI:10.1016/j.radcr.2021.02.026
PMID:33747330
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7960494/
Abstract

Epiploic appendagitis is a rare cause of acute to subacute lower quadrant abdominal pain. It has 2 subtypes: primary and secondary Epiploic appendagitis. Primary epiploic appendagitis is characterized by inflammation of the epiploic appendages caused by torsion or thrombosis of the draining vein of the appendage whereas secondary Epiploic appendagitis may occur in association with other inflammatory etiologies in the abdomen and pelvis. Due to its similarity to other causes of acute abdomen, patients with primary epiploic appendagitis often undergo unnecessary treatment with antibiotics and surgical intervention. We present a case of a middle-aged male who was diagnosed with primary epiploic appendagitis based on imaging studies and was successfully managed with conservative treatment.

摘要

网膜附件炎是急性至亚急性下腹部疼痛的罕见病因。它有两种亚型:原发性和继发性网膜附件炎。原发性网膜附件炎的特征是由于网膜附件引流静脉扭转或血栓形成导致附件炎症,而继发性网膜附件炎可能与腹部和盆腔的其他炎症病因相关。由于其与其他急腹症病因相似,原发性网膜附件炎患者常接受不必要的抗生素治疗和手术干预。我们报告一例中年男性病例,该患者根据影像学检查被诊断为原发性网膜附件炎,并通过保守治疗成功治愈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b658/7960494/e0e0214a2150/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b658/7960494/4250b7b3354a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b658/7960494/ff9524331239/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b658/7960494/e0e0214a2150/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b658/7960494/4250b7b3354a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b658/7960494/ff9524331239/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b658/7960494/e0e0214a2150/gr3.jpg

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本文引用的文献

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Epiploic appendagitis of the vermiform appendix--An unusual mimic of acute appendicitis.阑尾系膜脂膜炎——一种不常见的急性阑尾炎模仿病症。
Radiol Case Rep. 2020 Dec 18;16(3):511-515. doi: 10.1016/j.radcr.2020.12.005. eCollection 2021 Mar.
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Epiploic appendagitis: A rare cause of acute abdomen.网膜附件炎:急性腹痛的罕见病因。
Radiol Case Rep. 2018 Mar 23;13(3):599-601. doi: 10.1016/j.radcr.2018.02.022. eCollection 2018 Jun.
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Differential diagnosis of left-sided abdominal pain: primary epiploic appendagitis vs colonic diverticulitis.
右上腹腹痛的罕见病因:肝曲网膜囊炎
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Right lower quadrant pain: not always appendicitis but epiploic appendagitis of appendix.右下腹疼痛:不一定都是阑尾炎,也可能是阑尾的网膜性阑尾炎。
Radiol Case Rep. 2021 Oct 2;16(12):3695-3697. doi: 10.1016/j.radcr.2021.08.069. eCollection 2021 Dec.
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Epiploic appendagitis: an entity frequently unknown to clinicians--diagnostic imaging, pitfalls, and look-alikes.网膜附件炎:一种临床医生常常不了解的病症——诊断性影像学、陷阱及相似病症
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Epiploic appendagitis--clinical characteristics of an uncommon surgical diagnosis.网膜附件炎——一种罕见外科诊断的临床特征
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Clinical and CT findings of epiploic appendagitis within an inguinal hernia.腹股沟疝内网膜附件炎的临床及CT表现
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