关键词: Emergency medicine Surgery

Mesh : Humans Male Abdomen, Acute / diagnosis Abdominal Pain / diagnosis Acute Disease Appendectomy / adverse effects Appendicitis / diagnostic imaging surgery Appendix / diagnostic imaging surgery pathology Diagnosis, Differential Diverticulitis / diagnostic imaging surgery Pelvic Pain / complications Middle Aged

来  源:   DOI:10.1136/bcr-2023-259552   PDF(Pubmed)

Abstract:
Acute diverticulitis of the appendix (ADA), though uncommon, often presents similarly to acute appendicitis but carries a higher risk of complications such as perforation and malignancy. We report the case of a male patient in his 50s with acute right iliac fossa abdominal pain, diagnosed via CT scan with ADA. Urgent laparoscopic appendicectomy was performed, and the patient was discharged without further issues. This case highlights the importance of promptly identifying and managing such conditions to minimise complications and improve outcomes. Despite the overlap in symptoms between appendiceal diverticulitis and acute appendicitis, accurate diagnosis is crucial for appropriate treatment. Healthcare providers should maintain a high index of suspicion, particularly in older patients presenting with an acute appendicitis, like clinical picture to ensure timely intervention and optimal patient care.
摘要:
急性阑尾憩室炎(ADA),虽然不常见,通常与急性阑尾炎相似,但发生穿孔和恶性肿瘤等并发症的风险更高。我们报告了一名50多岁的男性患者,患有急性右髂窝腹痛,通过ADA的CT扫描诊断。紧急腹腔镜阑尾切除术,患者出院,没有进一步的问题。此案例强调了及时识别和管理此类疾病以最大程度地减少并发症并改善结果的重要性。尽管阑尾憩室炎和急性阑尾炎之间的症状重叠,准确的诊断对于适当的治疗至关重要。医疗保健提供者应该保持高度怀疑,特别是在患有急性阑尾炎的老年患者中,像临床图片,以确保及时干预和最佳的病人护理。
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