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一名年轻成年女性的网膜附件炎:急性腹痛的罕见病因。

Epiploic Appendagitis in a Young Adult Female: A Rare Cause of Acute Abdominal Pain.

作者信息

Daly Paige O, Ward Kaylie C, Elliott Joy

机构信息

Research, Edward Via College of Osteopathic Medicine, Blacksburg, USA.

Family Medicine, Edward Via College of Osteopathic Medicine, Blacksburg, USA.

出版信息

Cureus. 2024 Nov 18;16(11):e73953. doi: 10.7759/cureus.73953. eCollection 2024 Nov.

Abstract

Epiploic appendagitis (EA) is an uncommon and frequently misdiagnosed cause of acute abdominal pain, typically affecting middle-aged males. This case report presents an atypical occurrence in a 32-year-old Hispanic female who presented with left lower quadrant pain, initially suspected to be diverticulitis or infectious colitis. Contrast-enhanced CT imaging revealed the characteristic findings of EA, a diagnosis that is rarely seen in young adult females. The patient was successfully treated through conservative measures and avoided unnecessary surgical interventions. This case emphasizes the importance of considering EA in the differential diagnosis of acute abdominal pain across diverse patient demographics. It also highlights the crucial role of contrast-enhanced CT imaging to accurately diagnose and treat EA. By increasing awareness of this condition among clinicians, we can improve diagnostic accuracy, reduce unnecessary interventions, and optimize patient care in cases of acute abdominal pain.

摘要

网膜囊炎(EA)是一种引起急性腹痛的罕见且常被误诊的病因,典型地影响中年男性。本病例报告呈现了一名32岁西班牙裔女性的非典型发病情况,该患者表现为左下腹疼痛,最初怀疑是憩室炎或感染性结肠炎。增强CT成像显示了EA的特征性表现,这一诊断在年轻成年女性中很少见。患者通过保守措施成功治愈,避免了不必要的手术干预。本病例强调了在不同患者群体的急性腹痛鉴别诊断中考虑EA的重要性。它还突出了增强CT成像在准确诊断和治疗EA方面的关键作用。通过提高临床医生对这种疾病的认识,我们可以提高诊断准确性,减少不必要的干预,并优化急性腹痛病例的患者护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5efe/11655675/de60095d4cf9/cureus-0016-00000073953-i01.jpg

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