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一名15岁女性阑尾切除术后并发腹膜炎致输卵管卵巢脓肿病例

A Case of Tubo-Ovarian Abscess in a 15-Year-Old Female After Appendectomy Complicated by Peritonitis.

作者信息

Campbell Maryellen, Noor Ahmed A, Castaneda Martin

机构信息

Obstetrics and Gynecology, Florida Atlantic University, Schmidt College of Medicine, Boca Raton, USA.

Obstetrics and Gynecology, Bethesda Hospital East, Boynton Beach, USA.

出版信息

Cureus. 2021 Nov 30;13(11):e20052. doi: 10.7759/cureus.20052. eCollection 2021 Nov.

DOI:10.7759/cureus.20052
PMID:34993028
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8720034/
Abstract

Pelvic inflammatory disease (PID) and tubo-ovarian abscess (TOA) are serious diagnoses to consider in reproductive-age women presenting with abdominal or pelvic pain. Management can be medical or surgical depending on severity. This case report outlines the unique presentation of TOA in a 15-year-old female presenting with acute abdominal pain with a recent past surgical history of appendectomy. A discussion of the approach to similar presentations and the importance of maintaining a broad differential diagnosis follows.

摘要

盆腔炎(PID)和输卵管卵巢脓肿(TOA)是育龄期女性出现腹痛或盆腔疼痛时需要考虑的严重诊断。根据病情严重程度,治疗方法可以是药物治疗或手术治疗。本病例报告概述了一名15岁女性的TOA独特表现,该患者因近期有阑尾切除手术史而出现急性腹痛。随后讨论了针对类似表现的处理方法以及保持广泛鉴别诊断的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af09/8720034/990c894123c5/cureus-0013-00000020052-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af09/8720034/990c894123c5/cureus-0013-00000020052-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af09/8720034/990c894123c5/cureus-0013-00000020052-i01.jpg

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本文引用的文献

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Acute, Severe Abdominal Pain in a Non-Sexually Active Adolescent Female.一名无性活跃史的青春期女性的急性剧烈腹痛
Pediatr Rev. 2021 Feb;42(2):90-92. doi: 10.1542/pir.2019-0302.
2
Prevalence of Pelvic Inflammatory Disease in Sexually Experienced Women of Reproductive Age - United States, 2013-2014.2013 - 2014年美国育龄有性经历女性盆腔炎患病率
MMWR Morb Mortal Wkly Rep. 2017 Jan 27;66(3):80-83. doi: 10.15585/mmwr.mm6603a3.
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Case 1: Persistent fevers and abdominal pain in a 13-year-old neutropenic patient.
Pediatr Rev. 2015 Mar;36(3):127-9. doi: 10.1542/pir.36-3-127.
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Pelvic inflammatory disease in adolescents.青少年盆腔炎
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