瓦伦蒂诺综合症:从历史到图像. 一个基于案例的文献综述
Fernanda Kara Carmo1, Francisca Santorcuato Cubillos2, Ignacio Maldonado Schoijet3
1Radiology resident, Facultad de Medicina Universidad de los Andes, Clínica Dávila, Santiago, Chile. Facultad de Medicina Universidad de los Andes Santiago Chile.
Acta gastroenterologica Latinoamericana
|December 4, 2025
概括
瓦伦蒂诺综合征是右下象限疼痛的罕见原因,模仿胃或十二指肠穿孔引起的尾炎. 计算机断层扫描的早期诊断对于紧急腹部评估中的向治疗至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 紧急医疗 紧急医疗
- 放射学 放射学是一门学科.
背景情况:
- 右下象限疼痛是常见的紧急情况,急性尾炎是最常见的诊断.
- 瓦伦蒂诺综合征是一种罕见的疾病,胃或十二指肠穿孔呈现为右下象限疼痛,模仿尾炎.
- 从历史上看,瓦伦蒂诺综合征是通过探索性腹腔切除术诊断的,以鲁道夫·瓦伦蒂诺的名字命名,他死于穿孔.
研究的目的:
- 审查瓦伦蒂诺综合征的历史演变和临床表现.
- 为了说明放射性特征,强调计算机断层扫描 (CT) 的作用.
- 强调在肺关节炎和尾炎症状的患者中考虑瓦伦蒂诺综合征的重要性.
主要方法:
- 案例报告的呈现方式.
- 关于瓦伦蒂诺综合征的综合文献综述.
- 分析放射学发现,特别是CT扫描.
主要成果:
- 瓦伦蒂诺综合征表现为右下象限疼痛,经常被误认为是尾炎.
- 计算机断层扫描在识别胃/十二指肠穿孔和肺膜瘤方面发挥了重要作用.
- 早期和准确的诊断通过成像指导适当的管理,避免不必要的尾切除术.
结论:
- 瓦伦蒂诺综合征虽然很少见,但必须在急性右下象限疼痛的差异诊断中考虑.
- 先进的成像,特别是CT,显著提高了瓦伦蒂诺综合征的诊断准确性和及时管理.
- 在与尾炎类似的症状同时识别肺关节炎是怀疑瓦伦蒂诺综合征的关键.
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