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空肠憩室炎作为腹痛的罕见病因:病例报告。

Jejunal diverticulitis as a rare cause of abdominal pain: a case report.

机构信息

Gastroenterology Department, Mohamed Tahar Maamouri Hospital, Nabeul, Tunisia.

Radiology Department, Mohamed Tahar Maamouri Hospital, Nabeul, Tunisia.

出版信息

Pan Afr Med J. 2022 Mar 17;41:222. doi: 10.11604/pamj.2022.41.222.29095. eCollection 2022.

Abstract

Jejunal diverticulitis is an uncommon and underdiagnosed condition. Due to the rarity of This disease, diagnosis is often difficult and delayed. Medical treatment is usually sufficient for jejunal diverticulitis without peritonitis. Surgery is required in case of generalized peritonitis or voluminous abscess complicating diverticulitis. We report the case of a 76-year-old woman who suffered from recent abdominal pain. Diagnosis of uncomplicated jejunal diverticulitis was based on computed tomography (CT) scan. The evolution was favorable after antibiotic treatment. Jejunal diverticulitis have to be evoked among the differential diagnosis of patients with abdominal pain especially in the elderly and it is important for clinicians and radiologists to have awareness about this disease.

摘要

空肠憩室炎是一种不常见且易被漏诊的疾病。由于这种疾病较为罕见,因此诊断通常较为困难且会被延误。对于没有腹膜炎的空肠憩室炎,通常采用内科治疗即可。如果出现弥漫性腹膜炎或憩室炎并发脓肿,则需要手术治疗。我们报告了一例 76 岁女性患者,她最近出现腹痛。根据计算机断层扫描(CT)诊断为单纯性空肠憩室炎。经抗生素治疗后病情好转。空肠憩室炎在腹痛患者的鉴别诊断中应予以考虑,尤其是在老年人中,临床医生和放射科医生对此病应有一定认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b811/9167478/e5d3bb5ce599/PAMJ-41-222-g001.jpg

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