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一例被误诊为输卵管卵巢脓肿的憩室炎病例报告。

A case-report on diverticulitis misdiagnosed as tubo-ovarian abscess.

作者信息

Kazemi Seyyedeh Neda, Raoufi Masoomeh, Samsami Majid, Didar Hamidreza, Najafiarab Haniye

机构信息

Preventative Gynecology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Obstetrics and Gynecology, Endocrinology and Female Infertility Unit, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Ann Med Surg (Lond). 2021 Nov 10;72:103049. doi: 10.1016/j.amsu.2021.103049. eCollection 2021 Dec.

Abstract

INTRODUCTION AND IMPORTANCE

Tubo-ovarian abscesses (TOA) is presented with multiple clinical manifestations including gastrointestinal findings.

CASE PRESENTATION

Herein, we present a case of complicated diverticulitis that was misdiagnosed as TOA, owing to overlapping genital involvement.

CLINICAL DISCUSSION

Imaging could be misleading in these patients as a result of severe inflammation of intestines and surrounding organs.

CONCLUSION

Patients who do not respond to antibiotic treatment should be suspected of other gastrointestinal pathologies such as diverticulitis and should be evaluated accordingly.

摘要

引言与重要性

输卵管卵巢脓肿(TOA)有多种临床表现,包括胃肠道症状。

病例介绍

在此,我们报告一例因生殖器受累重叠而被误诊为TOA的复杂性憩室炎病例。

临床讨论

由于肠道及周围器官的严重炎症,影像学检查在这些患者中可能会产生误导。

结论

对抗生素治疗无反应的患者应怀疑有其他胃肠道病变,如憩室炎,并应进行相应评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/568b/8593559/74c0574e2923/gr1.jpg

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