Pönkä A, Pitkänen T, Kosunen T U
Acta Chir Scand. 1981;147(8):663-6.
Among 81 hospitalized patients with enteritis due to Campylobacter fetus ssp. jejuni, abdominal pain was found to be an outstanding symptom, being observed in half the patients on admission. In 16 patients pain was the main reason for admission and in 5 prompted laparotomy. In 4 cases appendicitis was suspected, but in only 2 was slight inflammation seen; in 1 of these, however, the inflammation could not be verified by microscopic examination. One patient was operated on because of intestinal occlusion, presumably due to Campylobacter enteritis. In 10 further cases a surgeon was consulted because the abdominal pains were at first suspected to be due to cholecystitis, pancreatitis or other abdominal emergencies. Thus, acute phase of Campylobacter infection may mimick acute abdominal emergency. The diagnosis is sometimes hampered by the late onset of diarrhoea or even by its total absence, as well as by the usual presence of abdominal tenderness and severe abdominal pains.
在81例因空肠弯曲菌胎儿亚种引起肠炎而住院的患者中，腹痛是一个突出症状，半数患者入院时即有此症状。16例患者因腹痛为主诉入院，5例因腹痛而行剖腹手术。4例曾怀疑为阑尾炎，但仅2例有轻度炎症；其中1例经显微镜检查未能证实有炎症。1例患者因肠梗阻接受手术，推测是弯曲菌肠炎所致。另有10例患者因起初怀疑腹痛是由胆囊炎、胰腺炎或其他腹部急症引起而咨询外科医生。因此，弯曲菌感染的急性期可能类似急性腹部急症。腹泻出现较晚甚至完全没有腹泻，以及通常存在的腹部压痛和剧烈腹痛，有时会妨碍诊断。
