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一例以右上腹疼痛为表现的单纯性十二指肠憩室病病例。

A Case of Uncomplicated Duodenal Diverticulosis Presenting With Right Upper Abdominal Pain.

作者信息

Saffarini Lubna, Kazim Yasmin H, Iqbal Shaikh Sayeed, Naji Mahmoud, Butros Manar

机构信息

Emergency Medicine, Rashid Hospital, Dubai, ARE.

Radiology, Rashid Hospital, Dubai, ARE.

出版信息

Cureus. 2024 Jul 8;16(7):e64062. doi: 10.7759/cureus.64062. eCollection 2024 Jul.

Abstract

Small bowel diverticulosis is not a common disease entity; however, it is increasingly diagnosed and linked to various gastrointestinal complaints. Although rare, complications can occur and may sometimes require surgical or endoscopic intervention. Furthermore, suspecting and diagnosing duodenal diverticulosis (DD) can be challenging due to the variety of presenting signs and symptoms. Much of our current knowledge comes from case reports and series. This report aims to document a case of DD presenting with severe right upper quadrant pain mimicking the signs and symptoms of acute cholecystitis. It also reviews and summarizes the available literature on the clinical manifestations of DD, its diagnostic approach, treatment modalities, and possible complications encountered in the ED.

摘要

小肠憩室病并非常见的疾病实体;然而,其诊断率正日益上升,且与各种胃肠道不适相关。尽管罕见,但仍可能发生并发症,有时可能需要手术或内镜干预。此外,由于十二指肠憩室病(DD)的体征和症状表现多样,对其进行怀疑和诊断可能具有挑战性。我们目前的大部分知识来自病例报告和系列研究。本报告旨在记录一例表现为严重右上腹疼痛、酷似急性胆囊炎体征和症状的DD病例。它还回顾并总结了关于DD临床表现、诊断方法、治疗方式以及急诊科可能遇到的并发症的现有文献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93ad/11305594/3b920a626cb6/cureus-0016-00000064062-i01.jpg

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