A 38-year-Old Woman With Flaccid Tetraparesis after Presenting With Abdominal Pain.

IF 0.9 Q4 CLINICAL NEUROLOGY Neurohospitalist Pub Date : 2024-09-02 DOI:10.1177/19418744241281000
Carolina Rodrigues Dal Bo, Julia Miranda Menezes, Barbara Gabriela Gomes Silva, Sarah Ingrid Farias Dos Santos, Marisa Petrucelli Doher, René de Araújo Gleizer
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引用次数: 0

Abstract

A 38-year-old woman presented in the emergency department with acute abdominal pain. She underwent laparoscopic cholecystectomy. Postoperatively, she developed worsening abdominal pain, tachycardia, flaccid tetraparesis, urinary retention, constipation and SIADH. She also developed red-colored urine. Porphobilinogen was requested in an isolated urine sample, with the test result showing 256 mg/g of creatinine. This case didactically emphasizes the necessity of considering differential diagnosis in acute abdomen pain associated with neurological disorders.

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一名 38 岁女性因腹痛而患上弛缓性四肢瘫。
一名 38 岁的女性因急性腹痛到急诊科就诊。她接受了腹腔镜胆囊切除术。术后,她出现腹痛加剧、心动过速、弛缓性四肢瘫痪、尿潴留、便秘和 SIADH。她还出现了红色尿液。在分离尿样中检测卟啉原,结果显示肌酐含量为 256 毫克/克。本病例从教学角度强调了在急性腹痛伴有神经系统疾病时考虑鉴别诊断的必要性。
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来源期刊
Neurohospitalist
Neurohospitalist CLINICAL NEUROLOGY-
CiteScore
1.60
自引率
0.00%
发文量
108
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