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以左侧腰痛为表现的急性阑尾炎:一例报告

Acute Appendicitis Presenting As Left Flank Pain: A Case Report.

作者信息

Badawy Ibrahim, Mbaya Khaled, Metwally Hesham

机构信息

Urgent Care Department, Mediclinic Hospital, Al Ain, ARE.

Radiology Department, Mediclinic Hospital, Al Ain, ARE.

出版信息

Cureus. 2024 Jun 11;16(6):e62181. doi: 10.7759/cureus.62181. eCollection 2024 Jun.

Abstract

Acute appendicitis (AA) is a common surgical emergency. The diagnosis is mainly clinical and is largely based on the typical presentation of periumbilical pain radiating to the right iliac fossa. However, atypical presentations have been reported in the literature. Left-sided appendicitis is a rare presentation. Imaging with ultrasonography (US) and computed tomography (CT) is of paramount importance in such cases to aid diagnosis and exclude other causes. We report a case of a 21-year-old man who presented with acute left flank pain. He was diagnosed with AA by CT, which showed an appendix diameter of 13 mm.

摘要

急性阑尾炎(AA)是一种常见的外科急症。诊断主要依靠临床症状,很大程度上基于脐周疼痛放射至右下腹的典型表现。然而,文献中也报道过非典型表现。左侧阑尾炎是一种罕见的表现形式。在此类病例中,超声(US)和计算机断层扫描(CT)成像对于辅助诊断和排除其他病因至关重要。我们报告一例21岁男性患者,他表现为急性左侧胁腹疼痛。通过CT诊断为AA,CT显示阑尾直径为13毫米。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23bc/11239144/9b48f2826041/cureus-0016-00000062181-i01.jpg

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