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急性阑尾炎伴网膜性阑尾炎作为鉴别诊断的可变放射学表现:病例系列

Variable Radiological Presentations of Acute Appendicitis With Epiploic Appendagitis as a Differential Diagnosis: A Case Series.

作者信息

Agarwal Nishant, Choudhuri Bodhisatwa, Datta Chaudhuri Nilanjana, Bagchi Nirmalya

机构信息

Emergency Medicine, Charnock Hospital, Kolkata, IND.

Critical Care and Rheumatology, Parkview Super Speciality Hospital, Kolkata, IND.

出版信息

Cureus. 2025 Jun 4;17(6):e85381. doi: 10.7759/cureus.85381. eCollection 2025 Jun.

Abstract

Acute appendicitis (AA) is one of the most common causes of lower abdominal pain and requires prompt and accurate diagnosis to prevent complications. However, its clinical presentation and radiologic findings can vary widely, and the condition may be mimicked by other intra-abdominal pathologies. This case series illustrates the diverse presentations of acute appendicitis, emphasizing the variability in imaging findings, and highlights epiploic appendagitis as a rare but important differential diagnosis. The series underscores the critical role of advanced imaging, particularly contrast-enhanced CT, in ensuring accurate diagnosis and appropriate management.

摘要

急性阑尾炎(AA)是下腹部疼痛最常见的病因之一,需要及时准确的诊断以预防并发症。然而,其临床表现和影像学表现差异很大,该病症可能被其他腹腔内病变所模仿。本病例系列阐述了急性阑尾炎的多样表现,强调了影像学表现的变异性,并突出了网膜附件炎作为一种罕见但重要的鉴别诊断。该系列强调了先进影像学检查,尤其是对比增强CT,在确保准确诊断和恰当治疗方面的关键作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f3c/12228005/fdbd21d15013/cureus-0017-00000085381-i01.jpg

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