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吞食骨碎片诱发的急性阑尾炎:一例儿科病例报告。

Acute appendicitis induced by bone fragment ingestion: A pediatrics case report.

作者信息

Khai Nguyen Xuan, Dung Nguyen Viet, Tien Truong Dinh, Hai Dao Minh, Cong Le Dang Thanh, Khanh Nguyen Ngoc, Van Duy Tran, Nam Do Thanh, Minh Ngo Tuan

机构信息

Department of Interventional Radiology, Radiology Center, 103 Military Hospital, Vietnam Military Medical University, Hanoi, Vietnam.

Department of Radiology, 108 Military Central Hospital, Hanoi, Vietnam.

出版信息

Radiol Case Rep. 2024 Aug 27;19(11):5318-5323. doi: 10.1016/j.radcr.2024.08.010. eCollection 2024 Nov.

Abstract

Acute appendicitis is an ordinary surgical emergency, typically attributed to luminal obstruction by fecaliths or lymphoid hyperplasia. However, ingested foreign bodies as an etiology are rare but increasingly recognized, particularly in pediatric patients. We present the case of a 9-year-old male patient who presented to the emergency department with symptoms consistent with acute appendicitis. Further investigation revealed the presence of a bone fragment within the appendix, leading to acute inflammation. Foreign body ingestion should be considered in pediatric patients with acute appendicitis. This case report underscores the importance of comprehensive clinical evaluation and appropriate diagnostic imaging modalities in guiding optimal treatment strategies.

摘要

急性阑尾炎是一种常见的外科急症,通常归因于粪石或淋巴组织增生导致的管腔阻塞。然而,作为病因的摄入异物虽然罕见但越来越受到认可,尤其是在儿科患者中。我们报告一例9岁男性患者,他因出现与急性阑尾炎相符的症状而到急诊科就诊。进一步检查发现阑尾内有一块骨碎片,导致急性炎症。对于患有急性阑尾炎的儿科患者,应考虑异物摄入的可能性。本病例报告强调了全面临床评估和适当的诊断成像方式在指导最佳治疗策略方面的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b269/11399572/4bc5ee9fe606/gr1.jpg

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