Abdallah Sary, Tarchichi Jana, Alabidin Ammasri Hussein Z, Tarchichi Alaa, Moufawad Graziella
Beirut Arab University School of Medicine.
Obstetrics and Gynecology Department, Beirut Arab University.
Ann Med Surg (Lond). 2024 Jan 18;86(3):1716-1719. doi: 10.1097/MS9.0000000000001736. eCollection 2024 Mar.
Laparoscopy is an established widely available technique for diagnosis and management. However, due to its high maintenance and expensive use, it is not readily available in emergency settings especially in underserved area hospitals. The coincidence of gynecologic and nongynecologic surgical emergencies incurs a diagnostic dilemma especially in women of reproductive age presenting with acute abdominal pain.
This article is a case report about a woman presenting with acute abdominal pain in an underserved area and diagnosed as appendicitis.
Emergency laparoscopy is so rare in underserved areas due to its high maintenance costs as well as the lack of availability of well-trained surgeons and personnel. The exceptional availability of emergency laparoscopy in her case has allowed the codiagnosis of a ruptured hemorrhagic ovarian cyst with the optimal surgical management preventing the complications that could have occurred from misdiagnosing the coincident ruptured hemorrhagic cyst.
Emergency laparoscopy is not always available in such clinical settings and has, in our case, optimized the management and prevented an undiagnosed ruptured hemorrhagic cyst together with its complications.
腹腔镜检查是一种已确立的、广泛应用于诊断和治疗的技术。然而，由于其维护成本高且使用费用昂贵，在紧急情况下，尤其是在医疗服务不足地区的医院，并不容易获得。妇科和非妇科手术急症的并存会引发诊断困境，特别是在出现急性腹痛的育龄妇女中。
本文是一篇关于一名在医疗服务不足地区出现急性腹痛并被诊断为阑尾炎的女性的病例报告。
由于维护成本高以及缺乏训练有素的外科医生和工作人员，急诊腹腔镜检查在医疗服务不足地区非常罕见。在她的病例中，急诊腹腔镜检查的特殊可用性使得能够同时诊断出破裂出血性卵巢囊肿，并进行了最佳的手术治疗，从而避免了因误诊同时存在的破裂出血性囊肿而可能发生的并发症。
在这种临床环境中，急诊腹腔镜检查并非总是可用，在我们的病例中，它优化了治疗并避免了未被诊断的破裂出血性囊肿及其并发症。
