Maenza R L, Smith L, Wolfson A B
University of Pittsburgh Affiliated Residency in Emergency Medicine, Pennsylvania, USA.
Am J Emerg Med. 1996 Jul;14(4):394-7. doi: 10.1016/S0735-6757(96)90058-3.
A radiographically demonstrated fecalith is widely considered a virtually pathognomonic sign of acute appendicitis. This case report describes a patient with a clinical presentation suggestive of appendicitis and a well-defined right lower quadrant fecalith who was found to have a normal appendix at surgery. This case calls into question the venerable dogma surrounding the fecalith and highlights the necessity for the physician to continue to rely on clinical judgment in making the diagnosis of appendicitis.
影像学显示的粪石广泛被认为实际上是急性阑尾炎的特征性体征。本病例报告描述了一名临床表现提示阑尾炎且右下腹有明确粪石的患者，手术中发现阑尾正常。该病例对围绕粪石的古老教条提出了质疑，并强调医生在诊断阑尾炎时继续依靠临床判断的必要性。
