PDF(Pubmed)
Abstract：
Acute abdominal pain is a common presentation in emergency departments, often attributed to a myriad of potential causes. Among these, acute appendicitis remains a frequently diagnosed culprit. However, this case report presents a 32-year-old male who arrived at the emergency department with severe right lower quadrant abdominal pain, characterized by localized tenderness and guarding. The initial clinical diagnosis pointed to acute appendicitis. Before surgical intervention, a computed tomography scan was conducted and revealed a focal area of fat stranding, consistent with omental infarction, while the appendix appeared normal. The patient\'s management involved pain control and supportive care, leading to a complete resolution of abdominal pain at a two-week follow-up. This case emphasizes the significance of including omental infarction in the spectrum of diagnoses for acute abdominal pain, underlining the potential to prevent unnecessary surgical interventions.
摘要：
急性腹痛是急诊科常见的表现，通常归因于无数的潜在原因。其中,急性阑尾炎仍然是经常被诊断的罪魁祸首。然而,该病例报告显示，一名32岁的男性因严重的右下腹疼痛而到达急诊科，以局部压痛和保护为特征。最初的临床诊断指向急性阑尾炎。手术干预前,进行了计算机断层扫描，发现了脂肪绞合的焦点区域，与网膜梗塞一致，而阑尾似乎正常。患者的管理包括疼痛控制和支持性护理，在两周的随访中导致腹痛完全缓解。该病例强调在急性腹痛的诊断范围中包括网膜梗塞的重要性，强调防止不必要的手术干预的潜力。
