Khatiwada Abhikanta, Jha Anamika, Ghimire Ashutosh, Shrestha Prezma, K C Sharada
Department of Radiology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Department of Obstetrics and Gynecology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Radiol Case Rep. 2024 Aug 9;19(11):4713-4716. doi: 10.1016/j.radcr.2024.07.067. eCollection 2024 Nov.
Acute appendicitis and adnexal torsion are leading causes of acute surgical abdomen in female patients. However, the simultaneous occurrence of these 2 conditions is extremely rare. Here, we present an extraordinary case of a woman radiologically diagnosed with ovarian dermoid torsion coexisting with acute appendicitis. The patient was managed operatively by surgeons from the respective fields in a single setting, thereby meeting the patient's standard of care. This case provides valuable insight into the possible coexistence of acute adnexal pathology with acute bowel pathology and vice versa, emphasizing that radiologists should avoid satisfaction of search after a single possible explanation of the condition.
急性阑尾炎和附件扭转是女性患者急性外科急腹症的主要病因。然而,这两种情况同时发生极为罕见。在此,我们报告一例特殊病例,一名女性经影像学诊断为卵巢皮样囊肿扭转合并急性阑尾炎。患者在单一环境下由各领域的外科医生进行手术治疗,从而达到了患者的护理标准。该病例为急性附件病变与急性肠道病变可能并存提供了有价值的见解,反之亦然,强调放射科医生应避免在对病情作出单一可能解释后就满足于现有检查结果。