急性不结算性胆囊炎和登革热:来自澳大利亚的病例报告
Sara Izwan1,2, William Rumble1,3, Matthew Lyon1,3
1Department of General Surgery, Toowoomba Hospital, Toowoomba, QLD, Australia.
International journal of surgery case reports
|March 16, 2026
概括
急性结核胆囊炎 (AAC) 是一种严重的疾病,很少是由登革热引起的. 这一案例凸显了考虑AAC不常见病因的重要性,即使在非特有地区.
科学领域:
- 胃肠病学 胃肠病学
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
背景情况:
- 急性结核胆囊炎 (AAC) 是一种严重的疾病,常见于危急病患者.
- 病理生理学涉及胆固醇,低或缺血.
- 登革热是AAC的不常见原因之一.
研究的目的:
- 报告一种罕见的登革热二次性AAC病例.
- 强调在AAC中需要广泛的差异诊断.
- 讨论登革热作为AAC原因的临床影响.
主要方法:
- 一个44岁的女性呈现AAC症状的病例报告.
- 诊断工作包括临床检查,生化标志物,肝功能测试和超声波.
- 进行了紧急腹腔镜胆囊切除术;术后诊断出登革热.
主要成果:
- 患者呈现出典型的AAC症状和迹象.
- 手术前和手术后的发现没有显示出胆结石.
- 手术后的诊断证实登革热是AAC的潜在原因.
结论:
- 临床医生必须考虑AAC的各种原因.
- 在AAC病例中应考虑登革热,特别是在旅行者或特定地理区域.
- 虽然保守的管理通常适用于登革热相关的AAC,但对于外周炎等并发症可能需要手术.
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