Bühler H, Woodtli W, Altorfer J, Pirovino M
Schweiz Med Wochenschr. 1981 May 30;111(22):802-4.
Over a period of 3 years acute perihepatitis has been diagnosed in 7 women. Clinically the pain was localized to the right upper abdomen in 4, whereas 1 patient complained of bilateral upper quadrant pain; 2 patients presented with exclusively left-sided upper abdominal symptoms. In the literature perihepatitis is characterized clinically as a syndrome limited to the right upper abdominal quadrant. However, our own experience shows that this disease entity must also be considered in the differential diagnosis of left-sided upper abdominal pain in young female patients.
在3年的时间里,7名女性被诊断出患有急性肝周炎。临床上,4名患者的疼痛局限于右上腹,而1名患者主诉双侧上象限疼痛;2名患者仅表现为左上腹症状。在文献中,肝周炎临床上的特征是局限于右上腹象限的一种综合征。然而,我们自己的经验表明,在年轻女性患者左上腹疼痛的鉴别诊断中也必须考虑这种疾病实体。