Khashoggi Alya A, Hakami Nouf A, Alghamdi Majdoleen A, Ayed Hussam Y, Alqarni Ali D, Alshahrani Talal J, Alshamrani Abdulaziz M, Alayyaf Abdallah S, Almansour Raghad A, Alolyan Sharouq A, Alotaibi Afrah A, Alabdulltif Sarah K, Obaidi Eman A, Akkasi Hatim A, Alshammari Malak
College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU.
College of Medicine, Jazan University, Jizan, SAU.
Cureus. 2021 Oct 17;13(10):e18835. doi: 10.7759/cureus.18835. eCollection 2021 Oct.
Acute appendicitis is the most frequent indication for emergency abdominal surgery in childhood. Despite being a common condition, the diagnosis of acute appendicitis can be challenging. Ultrasound examination remains the imaging tool of choice for the diagnosis of acute appendicitis. We report the case of a nine-year-old girl who presented with acute abdominal pain in the right lower quadrant accompanied by nausea and vomiting. Physical examination revealed right iliac fossa rebound tenderness. Ultrasound examination showed a dilated blind-ended structure in the right iliac fossa conferring the diagnosis of acute appendicitis. The patient underwent a CT scan which made the diagnosis of imperforate hymen with hematocolpos. The patient underwent hymenotomy and her symptoms showed complete resolution. Imperforate hymen with hematocolpos is a rare congenital genital tract anomaly. The case highlights the importance of appropriate genital examination in pediatric patients. In the present case, the patient might have undergone an unnecessary abdominal surgery if the correct diagnosis was not established.
急性阑尾炎是儿童期急诊腹部手术最常见的指征。尽管是一种常见病症，但急性阑尾炎的诊断仍具有挑战性。超声检查仍是诊断急性阑尾炎的首选影像学工具。我们报告一例9岁女孩，她出现右下腹急性腹痛，伴有恶心和呕吐。体格检查发现右髂窝有反跳痛。超声检查显示右髂窝有一个扩张的盲端结构，确诊为急性阑尾炎。患者接受了CT扫描，诊断为处女膜闭锁伴阴道积血。患者接受了处女膜切开术，症状完全缓解。处女膜闭锁伴阴道积血是一种罕见的先天性生殖道畸形。该病例凸显了对儿科患者进行适当生殖器检查的重要性。在本病例中，如果未确立正确诊断，患者可能会接受不必要的腹部手术。
