尾切除术治疗由尾神经瘤引起的慢性腹痛
Jordana Herblum1, Erin Kennedy2, Andrea Covelli2
1Department of Internal Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
ACG case reports journal
|February 23, 2026
概括
一种罕见的尾神经瘤引起了复发的右下象限疼痛,模仿尾炎. 手术去除症状,突出其在无法解释的腹痛诊断的重要性.
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:
- 复发的右下象限 (RLQ) 疼痛可以模仿急性尾炎.
- 功能性腹痛综合征是负面训练后持续的腹痛的常见诊断.
- 尾神经瘤是一种罕见的尾瘤.
研究的目的:
- 报告一个尾神经瘤病例,呈现为反复的RLQ疼痛.
- 在疑似尾炎的情况下强调尾神经瘤的诊断挑战.
- 突出手术干预在持续性,不明原因的RLQ疼痛中的治疗作用.
主要方法:
- 一个35岁的男性患有持续的RLQ疼痛的病例报告.
- 诊断工作包括成像和结肠镜检查,这些检查得不到结论.
- 诊断性腹腔镜和尾切除术用于持续的症状.
主要成果:
- 功能性腹部疼痛综合征的初始诊断在负面调查后.
- 组织病理学检查显示出一个尾神经瘤.
- 在尾切除术后,RLQ疼痛完全消失.
结论:
- 在无法解释的RLQ疼痛的差异诊断中,应考虑尾神经瘤,特别是当怀疑尾炎但成像结果为负面时.
- 探索性手术可能对患有严重,持续的RLQ疼痛,对保守管理无反应的患者有益.
- 早期诊断和尾神经瘤的手术治疗可以导致症状完全消失.
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