一个诊断陷:副肝尾炎模仿肝胆道疾病
Adhya M Tom1, Sofia S Ali1, Jagat S Gopinath1
1Emergency Medicine, Gulf Medical University, Ajman, ARE.
Cureus
|December 17, 2025
概括
肝下尾炎是一种罕见的疾病,具有独特的诊断挑战,模仿其他腹部上部问题. 增强对比度的CT对于识别这种非典型尾炎至关重要,腹腔镜尾切除术提供了安全有效的治疗方法.
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:
- 肝下尾炎是急性尾炎的一种罕见的解剖变异.
- 它可能被误诊为肝胆或胰腺疾病,导致治疗延迟和患者发病率增加.
研究的目的:
- 报告一名39岁妇女患有非典型症状的子肝尾炎病例.
- 要突出对比增强计算机断层扫描 (CT) 在识别这种罕见疾病的诊断实用性.
- 为了强调腹腔镜尾切除术对子肝尾炎的安全性和有效性.
主要方法:
- 一个39岁的女性患者的病例报告,患有急性腹部上部疼痛.
- 诊断工作包括实验室检查,腹部超声波和增强对比度的CT扫描.
- 手术干预包括腹腔镜尾切除.
主要成果:
- 最初的表现模仿了肝胆/胰腺病理,腹部上部疼痛和吐,但没有发烧或右下象限疼痛.
- 实验室发现显示白细胞瘤与中性恋和淋巴缺血;肝脏和功能测试正常.
- 增强对比度的CT扫描在诊断急性炎症的次肝尾中起到了关键作用,导致了成功的腹腔镜尾切除术,并无故障恢复.
结论:
- 亚肝性尾炎由于其非典型的呈现而构成重大诊断挑战.
- 增强对比度的CT成像在准确诊断肝下尾炎中发挥着至关重要的作用.
- laparoscopic 尾切除术是一种安全,有效和快速的治疗选择,用于肝下尾炎,确保有利的患者结果.
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