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空肠憩室炎:预防诊断错误的要点。

Jejunal diverticulitis: Things to know to prevent diagnostic mistake.

机构信息

General Surgery Unit, Parma University Hospital.

Emergency Surgery, Parma University Hospital.

出版信息

Acta Biomed. 2021 Apr 30;92(S1):e2021154. doi: 10.23750/abm.v92iS1.9679.

Abstract

We report a peculiar case of jejunal diverticulitis in 54-year-old female. Since hospital admission, a colonic diverticulitis was suspected. CT scan of the abdomen showed multiple fluid collections with free intraperitoneal extraluminal air, suggesting bowel perforation. A complicated acute diverticulitis of the colon was suspected but intraoperatively, a perforated acute diverticulitis of jejunum was detected. The aim of this work is to evidence the key role of CT scan of the abdomen in differential diagnosis of unfrequently pathological entities, such as jejunal diverticulitis, to prevent diagnostic mistakes.

摘要

我们报告了一例 54 岁女性的空肠憩室炎特殊病例。自入院以来,怀疑为结肠憩室炎。腹部 CT 扫描显示多个积液,伴有游离腹腔内腔外气,提示肠穿孔。怀疑为复杂的急性结肠憩室炎,但术中发现空肠穿孔性急性憩室炎。本工作的目的是证明腹部 CT 扫描在鉴别诊断空肠憩室炎等罕见病变中的关键作用,以防止诊断错误。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dab7/8142753/3cfed8eb89fc/ACTA-92-154-g001.jpg

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