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伪装成食物中毒的急性阑尾炎。

Acute appendicitis masquerading as food poisoning.

作者信息

Patel Krish, Bhasin Garv, Lasday Max, Plamoottil Asha, Ganti Latha

机构信息

Council Rock Schools, Holland, PA, USA.

Brown University, Providence, RI, USA.

出版信息

Radiol Case Rep. 2025 May 8;20(7):3607-3611. doi: 10.1016/j.radcr.2025.04.044. eCollection 2025 Jul.

Abstract

Acute appendicitis is a common surgical emergency. The underlying pathology in appendicitis occurs when the vermiform appendix, a vestigial organ connected to the large intestine, becomes swollen and inflamed. Some typical symptoms include abdominal pain, vomiting, fever, and appetite loss. Physical exam, imaging, and laboratory analyses are used to confirm the diagnosis. In this case report, a 15-year-old boy presented with vomiting and epigastric pain. Computed Tomography (CT) scans showed a fluid-filled appendix. Lab testing revealed elevated white blood cell counts, highlighting the importance of carefully analyzing test results. An appendectomy was performed which is the gold standard treatment for acute appendicitis. The patient's clinical course demonstrates how clinical data can effectively narrow down a diagnosis of pediatric acute appendicitis.

摘要

急性阑尾炎是一种常见的外科急症。当阑尾(连接大肠的退化器官)肿胀发炎时,就会发生阑尾炎的潜在病理变化。一些典型症状包括腹痛、呕吐、发热和食欲不振。体格检查、影像学检查和实验室分析用于确诊。在本病例报告中,一名15岁男孩出现呕吐和上腹部疼痛。计算机断层扫描(CT)显示阑尾充满液体。实验室检查显示白细胞计数升高,突出了仔细分析检查结果的重要性。进行了阑尾切除术,这是急性阑尾炎的金标准治疗方法。患者的临床病程表明临床数据如何有效地缩小小儿急性阑尾炎的诊断范围。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f37/12134486/06d848fe485c/gr1.jpg

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