在幼儿中同时发生的眼内和穿孔尾炎
Michael Grimm1, Hayley Harman1, Jonathan Gootee2
1School of Medicine, WVU, Morgantown, West Virginia, USA.
BMJ case reports
|April 23, 2025
概括
一名患有持续腹部疼痛的幼儿最初因腹腔内而接受治疗,但后来被诊断为穿孔性尾炎. 这一案例凸显了对儿童腹痛多重诊断的持续评估和考虑的需要.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 儿科手术 儿科手术
背景情况:
- 腹痛是儿童常见的表现.
- 区分诸如肠和尾炎之类的原因可能具有挑战性.
研究的目的:
- 介绍一个有着复杂表现的腹痛的幼儿病例.
- 强调在儿科腹部紧急情况中持续评估和差异诊断的重要性.
主要方法:
- 一个小孩的病例报告,最初的症状是内肠异位.
- 诊断成像包括腹部超声波.
- 手术干预 (镜尾切除术).
主要成果:
- 初步诊断的伊利奥科尔内肠静脉接成功通过水静电阴道减少.
- 持续的症状导致重新评估,揭示了急性尾炎与便.
- 在手术内发现证实了穿孔性尾炎.
结论:
- 持续的患者评估至关重要,即使是在初始治疗后.
- 维持儿童腹痛的广泛差异诊断是必不可少的.
- 跨学科的合作改善了复杂的儿科外科病例患者的治疗结果.
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