一个成年人的左侧急性尾炎与肠道逆转: 一个案例报告从约旦
Ramadan Hassanat1, Mohammad Alhroot1, Ahmad Alzboon1
1Department of General Surgery, Royal Medical Services, Amman, JOR.
Cureus
|December 24, 2025
概括
成年人肠道转移不良是罕见的,可能导致左侧尾炎. 这一案例凸显了识别成像特征的重要性,以便及时诊断和治疗这种手术紧急情况.
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:
- 持续到成年期的肠道恶性转移并不常见.
- 它可以导致手术紧急情况的非典型表现,如尾炎.
- 左侧急性尾炎是一种罕见但重要的诊断挑战.
研究的目的:
- 要呈现成年人肠道转移不良的病例,导致左侧急性尾炎.
- 在这种情况下强调成像的诊断作用.
- 讨论尾炎在恶性转换的背景下管理的方法.
主要方法:
- 一个28岁的女性出现左侧腹痛的病例报告.
- 实验室调查包括白细胞症和中性友好症.
- 用对比增强的计算机断层扫描 (CT) 扫描来评估肠道解剖学和尾.
- 腹腔镜检查和尾切除术.
主要成果:
- 扫描显示了肠道恶性旋转与逆转的SMA/SMV关系和左侧尾.
- 患者呈现白细胞症和左下沟的疼痛.
- 对于炎症的左侧尾, laparoscopic尾切除术成功进行.
- 组织病理学证实了急性尾炎.
结论:
- 成年人肠道恶性旋转可以使尾位移,导致左侧疼痛和诊断延迟.
- 放射学识别形和尾位置对于手术规划至关重要.
- 腹腔镜尾切除术是一种安全有效的尾炎治疗方法.
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