一个22岁的女性的左侧穿孔性尾炎,肠道转移不良:来自资源有限的环境的病例报告
Abdulrahman Mohammed Abdulrahman Abouh1, Ahmed Idris Abdelrahman Idris1, Arwa Mohammed Abdallah Gomaa1
1Department of Surgery, El Obeid Teaching Hospital, El Obeid, North Kordofan, Sudan.
International journal of surgery case reports
|January 16, 2026
概括
左侧尾炎,虽然很少见,但由于肠道转移不良,也可能发生. 临床评估对于在缺乏先进成像技术的资源有限的环境中进行诊断至关重要.
科学领域:
- 手术病例报告 手术病例报告
- 腹部外科手术 腹部外科手术
- 医学诊断 医学诊断 医学诊断
背景情况:
- 左侧尾炎是一种不常见的疾病,通常与先天性异常有关,如肠道转化不良.
- 诊断是具有挑战性的,特别是在资源有限的环境中,缺乏像CT扫描这样的先进成像.
研究的目的:
- 强调在非典型的腹痛呈现时考虑左侧尾炎的重要性.
- 强调临床判断和手术意识在诊断罕见疾病中的作用.
主要方法:
- 一个22岁的女性病例报告,左侧腹部疼痛.
- 诊断是通过临床评估进行的,并在紧急腹腔切除术中得到证实.
- 由于CT成像无法使用,进行了外科探索.
主要成果:
- 在左下象限发现了一个穿孔的尾,这归因于肠道恶性旋转.
- 病人成功接受了尾切除术,并没有出现并发症.
- 考虑了妇科病因,但排除了手术内.
结论:
- 尾炎应该包括在左侧腹痛的差异诊断中,即使是不典型的.
- 在外科手术期间识别解剖变异,如逆转,至关重要,特别是在没有手术前成像的情况下.
- 临床敏和及时的手术干预对于在资源有限的环境中管理左侧穿孔性尾炎至关重要.
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