穿孔性尾炎伪装成左侧阴囊:一个病例报告和文献综述
Elham Zarei1, Amir S Mounesi Sohi1, Amir Ghadipasha2
1Department of Radiology, School of medicine, Ali Asghar children hospital, Iran University of Medical Sciences, Tehran, Iran.
Radiology case reports
|October 9, 2024
概括
一个罕见的穿孔尾炎病例呈现为一个左囊,在一个年轻的男孩. 一个明显的阴道过程促进了感染的传播,强调了迅速诊断和手术干预的必要性.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 穿孔性尾炎是一种手术紧急情况.
- 儿童的阴囊通常来自尿生殖源.
- 很少情况下,尾病理可能会出现阴囊干扰.
研究的目的:
- 报告一个罕见的穿孔性尾炎病例,呈现为儿科患者的左囊.
- 审查有关类似演示文献的文献.
- 强调诊断挑战和管理策略.
主要方法:
- 一个3.5岁的男孩的病例报告,他的左囊胀和疼痛.
- 诊断工作包括超声波和实验室测试.
- 手术干预包括尾切除和阴囊探索.
- 对类似案件的文献综述.
主要成果:
- 患者呈现出暗示胃肠道和尿道生殖系统病理的症状.
- 超声波显示骨盆,发现结果与尾炎一致.
- 手术发现证实了穿孔的尾和左囊.
- 鉴定出一种明显的阴道过程 (PPV) 是感染的通道.
结论:
- 穿孔性尾炎在儿童中可以非典型地呈现为阴囊.
- 在感染从腹部扩散到阴囊的过程中,阴道过程发挥着至关重要的作用.
- 全面的成像和及时的手术干预对于准确的诊断和管理这些复杂的病例至关重要.
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
66
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...
66
Abdominal Regions and Quadrants
7.5K
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...
7.5K
Esophageal Perforation-II: Clinical Manifestations and Management
44
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
44


