急性尾炎或尾椎炎? 一个案例报告和系统文献综述
Stipe Vidović1, Nenad Čekić1,2,3, Ivica Šuvak1
1Department of Surgery, National Memorial Hospital Vukovar, 32 000 Vukovar, Croatia.
Clinics and practice
|March 26, 2025
概括
尾除炎是一种罕见的疾病,模仿尾炎,具有诊断挑战,但通过尾切除术有效治疗. 早期诊断对于减少与这种疾病相关的并发症和死亡率至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
背景情况:
- 尾垂炎是一种不常见的胃肠道疾病,由于症状与乳房内脏疾病重叠,导致诊断困难.
- 与急性尾炎相比,它具有更高的穿孔和死亡风险,与瘤的潜在关联.
- 有限的理解需要进一步研究其流行病学,风险因素,临床表现和结果.
研究的目的:
- 为了研究尾分炎的临床表现,诊断和治疗.
- 审查现有的文献,并提出案例报告,以提高对这种罕见疾病的理解.
- 强调在对大眼疼痛的差异诊断中考虑尾分炎的重要性.
主要方法:
- 一个案例报告介绍了一名53岁的男性,右下腹部疼痛.
- 文献综述包括5项回顾性研究和30份病例报告,分析了112名患者.
- 诊断方法包括体检,实验室测试 (白细胞病,CRP),超声波和组织病理学检查.
主要成果:
- 该病例患者经历了成功的腹腔镜尾切除术,经过了本病理学证实.
- 对112名患者的文献综述显示,平均年龄为49岁,男性为65.5%;常见症状包括右下象限疼痛 (56.5%).
- 组织病理学在86.9%的病例中证实了尾分炎;4.1%的病例有相关的新生体. 尾切除术在普遍情况下是成功的,没有死亡率.
结论:
- 尾分炎需要在急性尾炎的差异诊断中加以考虑.
- 及时诊断和治疗,主要是尾切除术,对于减轻发病率和死亡率至关重要.
- 尾切除术在治疗尾分炎方面显示出安全性和有效性.
更多相关视频
03:42Author Spotlight: Advancements in Retroperitoneal Approach for Necrotizing Pancreatitis
Published on: March 15, 2024
378
04:01Indocyanine Green-Guided Intraoperative Imaging to Facilitate Video-Assisted Retroperitoneal Debridement for Treating Acute Necrotizing Pancreatitis
Published on: September 8, 2022
2.3K
相关概念视频
01:29Appendicitis-II: Diagnostic Studies and Management
54
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...
54
01:22Appendicitis-I: Introduction
73
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...
73
01:21Inflammatory Bowel Disease V: Surgical Management
70
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
70
01:27Inflammatory Bowel Disease I: Ulcerative Colitis
103
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
103
01:17Chronic Bowel Disorders: Introduction
374
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
374
01:30Acute Pancreatitis II: Clinical Manifestations and Management
76
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
76