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酷似急性阑尾炎的网膜附件炎:一例整骨疗法病例报告

Epiploic Appendagitis Mimicking Acute Appendicitis: An Osteopathic Case Report.

作者信息

Chin Justin, Oseguera Basilia, Hon Kevin, Lomiguen Christine M, McBride Thomas

机构信息

Family Medicine, LifeLong Medical Care, Richmond, USA.

Medical Education, Lake Erie College of Osteopathic Medicine, Erie, USA.

出版信息

Cureus. 2022 Dec 14;14(12):e32499. doi: 10.7759/cureus.32499. eCollection 2022 Dec.

Abstract

Acute epiploic appendagitis is a rare cause of abdominal pain, often misdiagnosed as acute appendicitis or diverticulitis given similar clinical presentation and findings. The treatment is supportive care and is typically self-limited. The osteopathic structural exam can give insight into pathology and in this case, was suggestive of a non-appendiceal origin of her pain, in which emergent surgery could be avoided. Requiring computerized tomography to identify, acute epiploic appendagitis is a rare cause of abdominal pain and should be considered in the differential diagnosis.

摘要

急性网膜附件炎是一种罕见的腹痛病因,鉴于其临床表现和检查结果相似,常被误诊为急性阑尾炎或憩室炎。治疗以支持性护理为主,通常具有自限性。整骨结构检查可以深入了解病理情况,在这种情况下,提示她的疼痛并非阑尾起源,从而避免了紧急手术。急性网膜附件炎需要计算机断层扫描来确诊,是一种罕见的腹痛病因,在鉴别诊断中应予以考虑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5569/9840429/ea5a4993dc7f/cureus-0014-00000032499-i01.jpg

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