克罗恩病被误诊为尾炎:一个病例报告
Wen-Qian Wang1, Jin-Peng Yang2, Jia-Wen Dong2
1Department of Ultrasound in Medicine, The Fourth Affiliated Hospital of School of Medicine, and International School of Medicine, International Institutes of Medicine, Zhejiang University, Yiwu 322000, Zhejiang Province, China.
World journal of gastrointestinal surgery
|September 30, 2025
概括
克罗恩病 (CD) 的诊断可能具有挑战性. 胃肠道超声波 (GIUS) 有助于识别CD症状,如肠,以指导进一步的内镜确认.
科学领域:
- 胃肠病学 胃肠病学
- 诊断成像 诊断成像 诊断成像
- 炎症性肠道疾病是什么
背景情况:
- 克罗恩氏病 (CD) 是一种慢性炎症性肠道疾病,疾病活动和缓解交替发生.
- 内镜是目前CD诊断和监测的黄金标准.
- 胃肠道超声波 (GIUS) 为CD管理提供了一个非侵入性的,准确的替代方案.
研究的目的:
- 为了突出GIUS在诊断克罗恩病中的实用性.
- 介绍一个GIUS在怀疑和评估CD.中至关重要的案例.
主要方法:
- 一个15岁的女性患有持续的腹痛的案例研究.
- 最初的GIUS和CT扫描显示尾和结肠,以及中腔淋巴腺病变.
- 后续的GIUS显示了持续的结肠壁,息肉和狭窄,导致CD的怀疑.
主要成果:
- 尾炎的初始诊断在持续的症状和随访成像后被修订.
- GIUS确定了可暗示克罗恩病的关键症状,包括肠壁胀和狭窄.
- 内镜最终证实了克罗恩病的诊断.
结论:
- 持续的右下象限疼痛需要怀疑克罗恩病.
- 在初步评估中,GIUS至关重要,在内镜检查之前检测CD特异性发现.
- GIUS增强了可疑克罗恩病的诊断途径.
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