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一个未被诊断出肠道转移不良的患者的急性下尾炎:一个病例报告
Mohammed F Basehi1, Fatimah H Dallak2, Amjad A Durayb3
1Department of Emergency, King Fahd Central Hospital, Jazan Health Cluster, Jazan, Saudi Arabia.
Journal of medical case reports
|November 4, 2025
概括
带有肠道恶性旋转的急性尾炎很少见,但需要及时诊断. 这一案例突出了未被诊断的肠道转移不良患者的下尾炎,强调了及时成像和手术干预的必要性.
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:
- 急性尾炎在患有肠道转移不良的患者中不常见.
- 肠道逆转是一种胃肠道的先天性异常.
- 这种病例是由于以前未被诊断的肠道转移不良而导致的下尾炎.
研究的目的:
- 报告一例罕见的下尾炎病例,该病例发生在患有肠道转移不良的患者身上.
- 为了强调在尾炎诊断中考虑肠道恶性旋转的重要性.
- 突出诊断和管理方面的挑战.
主要方法:
- 一个16岁的男性患有急性上腹部疼痛的病例报告.
- 身体检查显示上胃和上阴部的疼痛.
- 用对比增强的腹部计算机断层扫描 (CT) 进行诊断.
- 手术尾切除和组织病理学分析.
- 手术后的后续检查.
主要成果:
- 肠道恶性转移的诊断与下尾炎通过CT证实.
- 尾切除术在没有手术或术后并发症的情况下进行.
- 组织病理学证实了尾炎,排除了恶性瘤.
- 没有事件的恢复和随访.
结论:
- 尾炎与肠道逆转相关,虽然很少见,但需要临床考虑.
- 及时识别和适当的成像对于准确的诊断至关重要.
- 及时进行手术管理对于预防并发症和误诊至关重要.
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