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一例罕见的阑尾尖端炎经保守治疗成功治愈。

A rare case of tip appendicitis treated successfully with conservative management.

作者信息

Qunibi Hanan, Thalji Mariam, Ahmad Mutasem Sayyed, Fakhouri Sulaiman

机构信息

Hebron Governmental Hospital, Habayel Al-Riyah, Hebron, Palestine, P720, Palestine.

Faculty of Medicine, Al-Quds University, College of Medicine, Main Campus, Abu-Dis, P.O. Box 89, Jerusalem, Palestine.

出版信息

J Surg Case Rep. 2024 Nov 6;2024(11):rjae685. doi: 10.1093/jscr/rjae685. eCollection 2024 Nov.

Abstract

Tip appendicitis is a rare and fatal complication after appendectomy. Diagnosing this condition requires a high level of suspicion due to its ambiguous and nonspecific symptoms. Radiological investigations such as ultrasound and computed tomography scans can aid in diagnosis. Early identification and treatment are of paramount importance for good patient outcomes. In most cases, Tip excision is the preferred treatment. However, antibiotics can also be a useful alternative. Conservative antibiotic treatment can be successful in certain situations, particularly when no fecaliths or perforation exists. Close monitoring is necessary to avoid the return of chronic appendicitis. We here introduce a case of a 47-year-old female patient who underwent an open appendectomy a year ago and is currently complaining of right lower quadrant abdominal pain. The patient was diagnosed with tip appendicitis. She was started on conservative antibiotic therapy and discharged home with good general conditions.

摘要

阑尾残端炎是阑尾切除术后一种罕见且致命的并发症。由于其症状模糊且不具特异性,诊断这种疾病需要高度的怀疑。超声和计算机断层扫描等影像学检查有助于诊断。早期识别和治疗对于患者获得良好预后至关重要。在大多数情况下,阑尾残端切除术是首选治疗方法。然而,抗生素也可以是一种有用的替代方法。保守的抗生素治疗在某些情况下可能成功,特别是在不存在粪石或穿孔的情况下。密切监测是必要的,以避免慢性阑尾炎复发。我们在此介绍一例47岁女性患者,她一年前接受了开腹阑尾切除术,目前主诉右下腹疼痛。该患者被诊断为阑尾残端炎。她开始接受保守抗生素治疗,并在一般状况良好的情况下出院回家。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8c6/11539903/55a0274274a3/rjae685f1.jpg

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