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相關文獻
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頁籤選單縮合
題名 | Omental Torsion Mimicking Acute Appendicitis: A Diagnostic Pitfall of Acute Abdomen=急性腹痛之診斷陷阱:網膜扭轉以急性闌尾炎之表徵呈現 |
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作者 | 蔡遠明; 俞志誠; 詹德全; 陳正榮; | 書刊名 | Journal of Medical Sciences |
卷期 | 31:3 2011.06[民100.06] |
頁次 | 頁129-131 |
分類號 | 416.243 |
關鍵詞 | 急性腹痛; 網膜扭轉; 急性闌尾炎; Acute abdomen; Omental torsion; Appendicitis; Laparoscopy; |
語文 | 英文(English) |
英文摘要 | Omental torsion is a rare cause of acute abdomen and often requires surgical intervention. The etiology is uncertain and the clinical signs mimic acute appendicitis. We present a case of a 34-year-old obese male with no previous medical history. The patient was admitted due to persistent lower abdominal pain. He was initially treated conservatively and underwent surgery because of intractable pain. His clinical diagnosis was acute appendicitis. The torsion of the omentum was found during laparoscopy. Preoperative diagnosis by clinical examination alone is almost never possible. It is possible to make a diagnosis with computer tomography preoperatively. We share our experience with this patient and emphasize omental torsion can be a diagnostic dilemma for acute abdomen, especially lower abdominal pain. Laparoscopy is an excellent tool to make the diagnosis and is helpful to therapy. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。