一例复杂的急腹症病例。
A complex case of acute abdomen.
作者信息
Alageel Mohammed Khalid
机构信息
Department of Emergency Medicine and Critical care, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Department of Emergency Medicine, University of British Columbia, Vancouver, Canada.
出版信息
Int J Emerg Med. 2025 Aug 11;18(1):150. doi: 10.1186/s12245-025-00954-9.
INTRODUCTION
Acute abdomen during early pregnancy poses a diagnostic challenge, especially in patients with underlying chronic gastrointestinal diseases.
CASE REPORT
A 36-year-old woman with Crohn’s disease and a confirmed 6-week intrauterine pregnancy presented with diffuse abdominal pain. Initial investigations, including MRI and ultrasound, were inconclusive. Diagnostic laparoscopy revealed malrotation of the large bowel and a perforated appendix, which was successfully managed with appendectomy and lavage.
CONCLUSION
This case highlights the diagnostic complexity of abdominal pain in early pregnancy, particularly in patients with Crohn’s disease and anatomic variations such as intestinal malrotation.
引言
妊娠早期的急腹症带来了诊断挑战，尤其是对于患有潜在慢性胃肠疾病的患者。
病例报告
一名36岁患有克罗恩病且确诊为宫内妊娠6周的女性出现弥漫性腹痛。包括磁共振成像（MRI）和超声在内的初步检查结果不明确。诊断性腹腔镜检查发现大肠旋转不良和阑尾穿孔，通过阑尾切除术和灌洗成功处理。
结论
本病例突出了妊娠早期腹痛的诊断复杂性，特别是对于患有克罗恩病以及存在诸如肠旋转不良等解剖变异的患者。
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