腹壁神经痛误诊盆腔炎1例

Pelvic inflammatory disease misdiagnosed as abdominal wall pain in 1 case

目的:慢性盆腔炎急性发作时易产生腹痛,腹壁内神经的神经束膜被免疫细胞浸润,细胞因子的敏感性增加,以抗生素行抗感染治疗后,即使盆腔炎症得到控制,腹痛也不能缓解,易造成误诊。应根据患者病史、临床表现和影像学检查具体判断,降低误诊率。

Acute exacerbation of chronic pelvic inflammatory disease is easy to cause abdominal pain.Abdominal nerve perineurium are infiltrated by immune cells,making the sensitivity of cytokines increased.After antibiotic anti infection treatment,even if pelvic inflammation can be controlled,abdominal pain can not be alleviated,so it is easy to be misdiagnosed.We should base on patient history,clinical manifestations and imaging examination to determine the specific judgment,to reduce the rate of misdiagnosis.