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[新型冠状病毒肺炎后网膜性阑尾炎一例]

[A Case of Epiploic Appendagitis after COVID-19].

作者信息

Lee Hun Joo, Kim Jaeyeon, Suh Seong O

机构信息

Department of Internal Medicine, National Police Hospital, Seoul, Korea.

出版信息

Korean J Gastroenterol. 2023 Mar 25;81(3):125-128. doi: 10.4166/kjg.2022.124.

Abstract

Acute epiploic appendagitis is an uncommon cause of abdominal pain resulting from appendageal ischemia caused by torsion or thrombosis of the draining vein. It is frequently misdiagnosed as acute appendicitis or diverticulitis. The coronavirus disease 2019 (COVID-19) pandemic has changed how this rare disease is diagnosed. There was a report of a young men diagnosed with COVID-19 and epiploic appendagitis as a rare cause of abdominal pain. In addition, a 50-year-old men was diagnosed with epiploic appendagitis during the treatment of COVID-19. This paper reports the case of a 53-year-old men who presented with right lower quadrant abdominal pain after COVID-19 and was diagnosed with acute epiploic appendagitis by computed tomography image findings. The thrombotic condition of COVID-19 may contribute to acute appendagitis, but more studies are needed to confirm this hypothesis.

摘要

急性网膜附件炎是一种少见的腹痛病因,由引流静脉扭转或血栓形成导致附件缺血引起。它常被误诊为急性阑尾炎或憩室炎。2019冠状病毒病(COVID-19)大流行改变了这种罕见疾病的诊断方式。有报道称一名年轻男性被诊断为COVID-19且患有网膜附件炎,这是一种罕见的腹痛病因。此外,一名50岁男性在COVID-19治疗期间被诊断为网膜附件炎。本文报告了一名53岁男性的病例,该患者在感染COVID-19后出现右下腹疼痛,通过计算机断层扫描图像结果被诊断为急性网膜附件炎。COVID-19的血栓形成状况可能导致急性附件炎,但需要更多研究来证实这一假设。

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