有肝下尾炎的逆转性肝下尾:诊断困境:一个病例报告
Biniam Addis Anelay1, Alemneh Mitku Chekol2, Workye Tigabie3
1Department of Surgery, SPHMMC, Ethiopia.
International journal of surgery case reports
|September 20, 2024
概括
肝下尾炎是一种罕见的疾病,由于尾部位异常,它带来了诊断挑战. 早期识别和成像对于及时的手术干预和改善患者结果至关重要.
科学领域:
- 外科胃肠道外科手术
- 儿科手术 儿科手术
背景情况:
- 急性尾炎是经常出现的手术紧急情况.
- 下肝尾炎是一种罕见的解剖变异,造成诊断和管理困难.
- 在全球范围内,对于这种情况存在有限的病例报告.
研究的目的:
- 突出诊断和管理子肝尾炎的挑战.
- 强调在儿科患者中考虑非典型尾部位的重要性.
- 在资源可变的环境中讨论治疗策略.
主要方法:
- 介绍一个患有肝下尾炎的儿科病例.
- 对于疑似胃肠炎/消化不良的初始症状治疗.
- 诊断工作包括成像,导致腹腔切除术和开放尾切除术.
主要成果:
- 一名7岁的孩子患有转转不良的子肝盲膜和性尾炎,成功接受了开放式尾切除术.
- 患者在外科干预后得到改善后出院.
- 这一案例强调了与子肝尾炎相关的诊断复杂性.
结论:
- 肝下尾炎是罕见的,由于其不寻常的位置,难以诊断.
- 高怀疑指数,对尾变异的认识和放射性成像对于及时诊断至关重要.
- 错误诊断和延迟治疗可能会导致并发症.
相关概念视频
Appendicitis-I: Introduction
91
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
91
Appendicitis-II: Diagnostic Studies and Management
67
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
67
Assessment of the Rectum and Anus
166
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
166
Abdominal Regions and Quadrants
7.6K
To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
7.6K
Endoscopic Procedures V: ERCP
125
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
125


