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伪装成双侧输卵管卵巢脓肿的穿孔性阑尾炎

Perforated Appendicitis Masquerading as Bilateral Tubo-Ovarian Abscess.

作者信息

Iqbal Humzah

机构信息

Internal Medicine, University of California San Francisco, Fresno, USA.

出版信息

Cureus. 2022 Oct 19;14(10):e30464. doi: 10.7759/cureus.30464. eCollection 2022 Oct.

DOI:10.7759/cureus.30464
PMID:36407274
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9673187/
Abstract

Acute appendicitis is a highly common cause of abdominal pain that presents with nausea and vomiting, characteristic physical exam findings, and imaging evidence of appendiceal inflammation. In the absence of these signs, diagnosis can be difficult. This case report demonstrates an uncommon presentation of appendicitis that led to a delay in diagnosis and aims to discuss the ways in which similar misdiagnoses can be avoided for clinicians in the future.

摘要

急性阑尾炎是引起腹痛的常见原因,常伴有恶心、呕吐,具有典型的体格检查结果及阑尾炎症的影像学证据。若缺乏这些体征,诊断会很困难。本病例报告展示了阑尾炎一种不常见的表现形式,这种表现导致了诊断延误,旨在探讨未来临床医生可避免类似误诊的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8638/9673187/3c02a32ae2f1/cureus-0014-00000030464-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8638/9673187/779d2ba524a5/cureus-0014-00000030464-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8638/9673187/0a74d9c2ac9b/cureus-0014-00000030464-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8638/9673187/2802471e2cf5/cureus-0014-00000030464-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8638/9673187/3c02a32ae2f1/cureus-0014-00000030464-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8638/9673187/779d2ba524a5/cureus-0014-00000030464-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8638/9673187/0a74d9c2ac9b/cureus-0014-00000030464-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8638/9673187/2802471e2cf5/cureus-0014-00000030464-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8638/9673187/3c02a32ae2f1/cureus-0014-00000030464-i04.jpg

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本文引用的文献

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World J Surg. 2021 Jul;45(7):1999-2008. doi: 10.1007/s00268-021-06077-5. Epub 2021 Mar 23.
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A tubo-ovarian abscess mimicking an appendiceal abscess: a rare presentation of Streptococcus agalactiae.一例酷似阑尾脓肿的输卵管卵巢脓肿:无乳链球菌的罕见表现
Oxf Med Case Reports. 2019 Aug 1;2019(8). doi: 10.1093/omcr/omz071.
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复杂性阑尾炎:立即手术还是试行非手术治疗?
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Operative versus non-operative therapy for acute phlegmon of the appendix: Is it safer? A case report and review of the literature.阑尾急性蜂窝织炎的手术治疗与非手术治疗:哪种更安全?一例病例报告及文献综述
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72 h Is the Time Critical Point to Operate in Acute Appendicitis.72 小时是急性阑尾炎手术的时间临界点。
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Laparoscopic versus open appendectomy in patients with suspected appendicitis: a systematic review of meta-analyses of randomised controlled trials.疑似阑尾炎患者的腹腔镜与开腹阑尾切除术:随机对照试验的Meta分析的系统评价
BMC Gastroenterol. 2015 Apr 15;15:48. doi: 10.1186/s12876-015-0277-3.
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