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阑尾炎继发于钝性腹部创伤:一例说明性病例。

Appendicitis Following Blunt Abdominal Trauma: An Illustrative Case.

机构信息

Warren Alpert Medical School of Brown University, Providence, RI.

Wheaton College, Norton, MA.

出版信息

R I Med J (2013). 2022 Apr 1;105(3):37-38.

Abstract

Acute appendicitis is the most common abdominal surgical emergency, with an average of 7-9% of individuals developing the condition within their lifetime.1 While cases of acute traumatic appendicitis are rare, medical literature supports their plausibility with the most famous case stretching back to the controversial 1926 death of stunt performer, Harry Houdini. Several mechanisms have been proposed by which blunt abdominal trauma results in acute appendicitis. In this review, we describe a young, otherwise healthy male, who developed epigastric abdominal pain after being struck in the abdomen while wrestling with his cousin of similar age. The patient was found to have peri-appendiceal inflammatory change, appendiceal mural thickening and edema consistent with acute uncomplicated appendicitis.

摘要

急性阑尾炎是最常见的腹部外科急症,平均有 7-9%的人在其一生中会出现这种情况。1 虽然急性创伤性阑尾炎的病例较为罕见,但医学文献支持其可能性,其中最著名的病例可以追溯到有争议的 1926 年特技演员哈里·胡迪尼的死亡。已经提出了几种机制,说明钝性腹部创伤如何导致急性阑尾炎。在本综述中,我们描述了一位年轻、健康的男性,他在与年龄相仿的表弟摔跤时腹部被击中后出现上腹痛。患者被发现有阑尾周围炎症改变,阑尾壁增厚和水肿,符合急性单纯性阑尾炎的表现。

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