期刊文献+
共找到1篇文章
< 1 >
每页显示 20 50 100
A simple appendicitis?An anatomical pitfall:A case report
1
作者 Slawomir Wajman Magdalena Gewartowska +1 位作者 Robert Antoniak Marek Stanczyk 《Journal of Acute Disease》 2021年第4期173-176,共4页
Rationale:We present a case of appendicitis with an uncommon course due to rare anatomical location of the appendix in the right retroperitoneal space below the diaphragm and above the liver.Patient’s concern:A 32-ye... Rationale:We present a case of appendicitis with an uncommon course due to rare anatomical location of the appendix in the right retroperitoneal space below the diaphragm and above the liver.Patient’s concern:A 32-year-old,previously healthy male with a history of congenital diaphragmatic hernia repair in childhood,presented with 3 days of mild,colicky,central abdominal pain associated with fever,nausea and vomiting.At presentation,pain was localized to the right lower quadrant.Diagnosis:Even though diagnosis of appendicitis was clear,we decided to confirm it with computer tomography(CT).CT revealed elevation of the right dome of the diaphragm and perforated appendix located above the liver.Intervention:Appendectomy was performed via right subcostal approach instead of usual incision in the right lower quadrant.Outcome:Patient recovered well and was discharged on the 5th day after operation.Lessons:Previous congenital diaphragmatic hermia repair may change the location of the appendix.The appendix at rare locations could lead to an uncommon course of appendicitis.On this very note,surgeons should have a high index of suspicion,and CT may help avoid inadvertent complications. 展开更多
关键词 APPENDICITIS Acute abdomen APPENDECTOMY CT congenital diaphragmatic hernia repair
下载PDF
上一页 1 下一页 到第
使用帮助 返回顶部