急性阑尾炎:非手术治疗的腹痛。

Case Reports in Emergency Medicine Pub Date : 2019-07-14 eCollection Date: 2019-01-01 DOI:10.1155/2019/7160247
Marco Di Serafino, Francesca Iacobellis, Piero Trovato, Ciro Stavolo, Antonio Brillantino, Antonio Pinto, Luigia Romano
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引用次数: 0

摘要

外膜阑尾炎是一种相对罕见的疾病,其特征是大肠内充满脂肪的浆膜外袋(称为外膜阑尾)发生炎症。由于缺乏病理临床特征,诊断附壁阑尾炎具有挑战性,因此应首先将其与阑尾炎或憩室炎作为潜在的排除性诊断,因为阑尾炎或憩室炎是导致下腹痛的最重要原因。目前,随着超声波和计算机断层扫描在急性腹痛评估中的应用日益广泛,附壁阑尾炎可通过特征性的影像诊断特征来确诊。我们介绍了一例阑尾炎病例,旨在增加对这种疾病及其影像诊断结果的了解,从而减少有害和不必要的手术干预。
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Acute Epiploic Appendagitis: A Nonsurgical Abdominal Pain.

Epiploic appendagitis is a relatively rare disease characterized by an inflammation of fat-filled serosal outpouchings of the large intestine, called epiploic appendices. Diagnosis of epiploic appendagitis is made challenging by the lack of pathognomonic clinical features and should therefore be considered as a potential diagnosis by exclusion first of all with appendicitis or diverticulitis which are the most important causes of lower abdominal pain. Currently, with the increasing use of ultrasound and computed tomography in the evaluation of acute abdominal pain, epiploic appendagitis can be diagnosed by characteristic diagnostic imaging features. We present a case of epiploic appendagitis with objective of increasing knowledge of this disease and its diagnostic imaging findings, in order to reduce harmful and unnecessary surgical interventions.

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