瓦伦蒂诺综合征:对急性下腹痛的诊断挑战
Rajan Narayan Nakarmi1, Bishal Budha2, Roshan Chaudhary2
1Department of Emergency Medicine, Institute of Medicine, Tribhuvan University, Kathmand-44600, Bagmati Province, Nepal.
Journal of surgical case reports
|December 1, 2025
概括
瓦伦蒂诺综合征是一种罕见的,模仿尾炎的下腹疼痛的原因, presents一个诊断挑战. 这一案例凸显了急性腹部病的广泛差异诊断的必要性,特别是在资源有限的环境中.
科学领域:
- 胃肠病学 胃肠病学
- 手术病例报告 手术病例报告
背景情况:
- 急性下腹痛是一种常见的临床表现,具有广泛的差异诊断.
- 胃潰瘍穿孔經典原因是腹部上部疼痛,但可以呈現非典型的.
研究的目的:
- 报告一个瓦伦蒂诺综合征病例,一种罕见的穿孔性胃潰瘍呈现,模仿急性尾炎.
- 强调在急性腹痛中考虑非典型诊断的重要性,特别是在资源有限的环境中.
主要方法:
- 病例报告详细介绍了一位患有右下象限疼痛的患者.
- 在手术期间的发现和随后的穿孔十二指肠的诊断.
主要成果:
- 最初的诊断是急性尾炎,基于右下象限疼痛.
- 术后检查结果显示尾正常,但十二指肠穿孔 (瓦伦蒂诺综合征).
结论:
- 瓦伦蒂诺综合征应在急性下腹痛的差异诊断中考虑.
- 扩大差异诊断和考虑非典型表现对于有效管理急性腹部至关重要,特别是当高级诊断无法使用时.
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