Tustumi Francisco, da Costa Filha Giane Prata, Gnipper Cirillo Guilherme Carvalhal
Department of Health Sciences, Hospital Israelita Albert Einstein, Sao Paulo 05652-900, Brazil.
Department of Gastroenterology, Universidade de São Paulo, Sao Paulo 05508-220, Brazil.
Diagnostics (Basel). 2024 Jun 29;14(13):1386. doi: 10.3390/diagnostics14131386.
This image article presents an 88-year-old indigenous woman with a history of several episodes of abdominal pain, for which she went to numerous different hospitals in the countryside, was always treated with analgesics, and then discharged. After a long time, the patient eventually was evaluated with magnetic resonance imaging. The test revealed a displaced gallbladder with thickened walls, multiple stones, and a fistulous tract extending to the skin. This case underscores the significant challenges faced by patients in regions with limited healthcare access, highlighting the impact of delayed diagnosis and inadequate management on patient outcomes.
这篇影像文章介绍了一位88岁的原住民女性,她有多次腹痛发作史,为此她前往农村的多家不同医院就诊,每次都接受了镇痛治疗,然后出院。很长一段时间后,患者最终接受了磁共振成像检查。检查发现胆囊移位、胆囊壁增厚、有多个结石,还有一条通向皮肤的瘘管。该病例凸显了医疗服务可及性有限地区的患者所面临的重大挑战,强调了延迟诊断和管理不当对患者预后的影响。