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[前往热带地区旅行后突发上腹部疼痛。一名28岁女乘务员的紧急入院情况]

[Acute epigastric pain after travel to the tropics. Emergency admission of a 28-year-old stewardess].

作者信息

Steimann R, Schäfer A, Kühne D, Budde T, Loew H

机构信息

Abteilung Innere Medizin I, Robert-Bosch-Krankenhaus, Stuttgart.

出版信息

Fortschr Med. 1996 Dec 20;114(35-36):488-91.

PMID:9119348
Abstract

A 28-year-old stewardess was admitted to hospital with violent cramp-like pain in the right upper abdomen, which was accompanied by a single episode of watery pasty diarrhea. Over the next few days her symptoms persisted, she developed a high fever, and her general state of health deteriorated. Ultrasonography repeated on the fourth day then revealed a small space-consuming lesion in the right lobe of the liver. While the laboratory investigations initially remained negative, the suspected amebic abscess and colitis were subsequently also confirmed serologically.

摘要

一名28岁的空乘人员因右上腹剧烈绞痛样疼痛入院,伴有一次水样糊状腹泻。在接下来的几天里,她的症状持续存在,出现高热,健康状况恶化。第四天复查超声显示肝脏右叶有一个小的占位性病变。虽然实验室检查最初结果为阴性,但随后血清学检查确诊为疑似阿米巴肝脓肿和结肠炎。

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