在虫状尾上的形尾炎通常被误诊为急性尾炎
Akihiro Horibe1, Juri Funasaka2, Keisuke Hiroshima3
1Department of Diagnostic Radiology, Nagoya City University West Medical Center, Nagoya, 462-0810, Aichi, Japan. westradiology@gmail.com.
Emergency radiology
|December 11, 2024
概括
形尾的形尾炎,一种罕见的腹痛原因,可以被误认为是尾炎. 准确的成像是诊断的关键,避免不必要的手术,允许非手术管理.
科学领域:
- 胃肠病学 胃肠病学
- 放射学 放射学是一门学科.
- 手术病理学手术病理学
背景情况:
- 性尾炎 (EA) 是一种不常见的腹痛原因.
- 虫状尾的EA模仿急性尾炎,可能导致误诊和不必要的手术.
- 由于非特定的临床和实验室发现,准确的诊断严重依赖于成像.
研究的目的:
- 要突出形尾的形尾炎作为右下象限疼痛的罕见差异诊断.
- 强调准确的成像的重要性,以防止误诊和不必要的手术干预.
- 审查附录EA的特征成像发现.
主要方法:
- 一个57岁的男性出现右腹部疼痛的病例报告.
- 进行了临床评估,实验室测试和计算机断层扫描 (CT) 成像.
- 在虫形尾尖的CT检测结果的放射学审查.
主要成果:
- 患者呈现右下腹疼痛和正常的实验室结果.
- 最初的诊断认为是远端尾炎或结肠分泌炎,用抗生素治疗.
- 扫描显示了形尾上与形尾炎一致的发现:圆形的脂肪密度与高强度边缘和中央高密度斑点.
结论:
- 虫状尾的形尾炎是一种罕见的疾病,可以通过抗炎药物进行非手术治疗.
- 熟悉尾EA的临床和成像特征对于准确诊断至关重要.
- 通过成像将EA与急性尾炎区分开来,可以防止不必要的外科手术并改善患者的治疗结果.
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