一个被摄入的外体模仿急性尾炎:一个案例报告
Nithya Devanathan1, Hemangi Patel2, Pinar Sargin3
1Medical School, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Fort Lauderdale, USA.
Cureus
|September 16, 2024
概括
一根刺棍造成了西格体穿孔,呈现为不常见的右下象限疼痛. 这一案例凸显了在诊断腹痛时需要考虑摄入的异物,即使没有患者的回忆.
科学领域:
- 胃肠病学 胃肠病学
- 手术病例报告 手术病例报告
背景情况:
- 下腹部疼痛是急救部门经常抱怨的情况.
- 右下象限 (RLQ) 疼痛需要排除急性尾炎.
- 摄入外体的西格孔是RLQ疼痛的罕见原因.
研究的目的:
- 报告由于摄入外体而导致的西格体穿孔病例.
- 强调在RLQ疼痛诊断中考虑外体摄入的重要性.
- 审查常见的摄入外体,并发症和管理.
主要方法:
- 一个29岁的男性患有RLQ疼痛的病例报告.
- 最初的评估表明急性尾炎.
- 探索性腹腔镜检查显示,西格体被一根刺棍穿孔.
主要成果:
- 在腹腔镜检查过程中发现了一个穿孔的西格结肠.
- 患者没有记忆摄入了外体.
- 通过摄入的异物证实了西格体穿孔的诊断.
结论:
- 摄入的外体应在RLQ疼痛的差异诊断中考虑.
- 即使没有患者召回,外体的摄入也可能导致严重的并发症,如sigmoid穿孔.
- 对这种不常见的病因的认识对于急诊室的评估至关重要.
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