左上腹部痛を呈する非定型虫垂炎の診断:症例報告
Elisabeth Hildenbrandt1, Mark E Hoffman1, Mark Salib1
1School of Medicine, St. George's University School of Medicine, True Blue, GRD.
Cureus
|December 26, 2025
まとめ
非定型急性虫垂炎は診断上の課題を引き起こす可能性があります。解剖学的変異がある場合、特に治療の遅延を防ぐためには、早期のCTイメージングがこの病状の診断に不可欠です。
科学分野:
- 消化器病学
- 外科病理学
- 画像診断
背景:
- 急性虫垂炎は一般的な外科的緊急疾患である。
- 非定型的な提示は、診断の遅延や合併症につながる可能性がある。
研究 の 目的:
- 非定型的な左上腹部痛を伴う急性虫垂炎の症例を報告する。
- 非定型的な虫垂炎の提示における横断画像診断の重要性を強調する。
主な方法:
- 非定型的な腹痛を呈した21歳女性の症例報告。
- 腹部および骨盤のコンピューテッドトモグラフィー(CT)スキャン。
- 腹腔鏡下虫垂切除術
主要な成果:
- CT検査により、虫垂が細長く、盲腸後位にあり、虫垂結石が存在することが明らかになった。
- 急性虫垂炎の診断が確定した。
- 腹腔鏡下虫垂切除術が合併症なく成功裏に施行された。
結論:
- 非定型的な部位の腹痛に対しては、臨床的な注意が不可欠である。
- 早期の横断画像診断は、非定型虫垂炎の診断に役立つ。
- 迅速な診断と介入は、合併症率を低下させる。
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