一个逆尾呈现与重复的右上象限疼痛 (RUQ):一个相当常见的外科病理的罕见呈现
Ailsa Ferrie1, Mohammed Barghash1, Moustafa Mansour1
1General Surgery, North Manchester General Hospital, Manchester, GBR.
Cureus
|November 5, 2025
概括
下肝尾炎是一种罕见的腹痛原因. 早期的CT扫描对于诊断这种不寻常的尾位置和指导治疗至关重要,即使是在标准腹腔镜手术中.
科学领域:
- 胃肠病学 胃肠病学
- 手术解剖学手术解剖学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 急性尾炎是一种常见的手术紧急情况.
- 尾的解剖学变异可能导致异常呈现和诊断延迟.
- 下肝尾炎是一种异常罕见的解剖变异.
研究的目的:
- 报告一种罕见的肝下尾炎病例.
- 突出CT在识别异常尾位置方面的诊断实用性.
- 强调在非典型的腹痛病例中考虑变体尾解剖学的重要性.
主要方法:
- 一个31岁的女性的病例报告,右上象限疼痛.
- 术前计算机断层扫描 (CT) 扫描以确定尾的位置.
- 使用标准的三端口技术进行 laparoscopic 尾切除.
主要成果:
- 扫描显示了一个长的尾,尖端位于肝下空间.
- CT成像对于避免错误诊断至关重要.
- 患者经历了一次没有事件的腹腔镜尾切除术.
结论:
- 在RUQ或非典型的腹痛患者中,应考虑肝下尾炎,特别是在排除胆道病理之后.
- 对于变异的尾位置,需要一个高的怀疑指数.
- 标准腹腔镜技术对于解剖学异常是有效的.
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