Blereau R P
Pediatr Emerg Care. 1985 Jun;1(2):85-6.
The emergency physician is frequently frustrated by the symptom of recurrent abdominal pain. This complaint is particularly troubling when the patient localizes the pain to the right lower quadrant. On an isolated visit, acute appendicitis is the condition which demands primary consideration, because of both its frequency and the consequences of failure to make a prompt diagnosis. When right lower quadrant abdominal pain is recognized as being recurrent, the emergency department physician must consider a broader range of diagnostic possibilities. This illustrative case presents one unusual element of the differential diagnosis of this symptom.
急诊医生常常因反复腹痛的症状而感到困扰。当患者将疼痛定位在右下腹时，这种主诉尤其令人困扰。在单次就诊时，由于急性阑尾炎的发病率及其未能及时诊断所带来的后果，它是首要考虑的疾病。当认识到右下腹反复疼痛时，急诊科医生必须考虑更广泛的诊断可能性。本病例展示了该症状鉴别诊断中一个不寻常的因素。
