原发性肠脂垂炎10例误诊分析

Analysis of 10 misdiagnosed cases of primary epiploic appendagitis

目的分析原发性肠脂垂炎（PEA）的临床特点和误诊原因。方法对2010年1月—2015年8月首都医科大学宣武医院急诊科诊治的10例PEA患者的临床资料进行回顾性分析。结果 10例PEA患者,男6例,女4例,年龄18~81岁。临床表现均有明确腹痛,均经腹部强化CT检查确诊为PEA。误诊为急性阑尾炎7例,盆腔炎2例,局限性腹膜炎1例。均给予不必要的抗生素治疗,确诊后停用抗生素给予对症治疗后均好转。结论 PEA是一种良性自限性疾病,不需要抗生素治疗,临床应加强认识,避免误诊。

Objective To analysis clinical characteristics and misdiagnosis reason of primary intestinal fat hanging inflammation（PEA）.Methods From 2010 January to 2015 August,the clinical data of 10 cases of patients with PEA in emergency department of Xuanwu Hospital were retrospectively analyzed.Results 10 cases of PEA patients,6 males and 4 females,aged from 18 to 81 years old.Clinical manifestations are clearly abdominal pain,and they were confirmed as PEA by contrast enhanced abdominal CT examination.7 cases misdiagnosed as acute appendicitis,2 cases as pelvic inflammatory disease,the limitations of peritonitis in 1 case.They were stopped given unnecessary antibiotics after diagnosis but with symptomatic treatment,all patients symptom were improved after treatment.Conclusion PEA is a benign self-limiting disease,do not need antibiotic treatment,clinical awareness should be strengthened to avoid misdiagnosis.