小儿先天性胆总管囊肿穿孔误诊为急性阑尾炎1例报告
1病例资料患儿女性,7岁,1周前出现上腹部胀痛,无发热,1 d前疼痛加重,剧烈,继而波及全腹,以右下腹明显,2014年12月10日就诊于当地医院,考虑＂急性阑尾炎＂,拟行阑尾切除术。术中探查见腹腔内大量胆汁性液体,不除外消化道穿孔,遂上沿切口,共吸出胆汁性液体约500 ml,升结肠系膜、右侧腹膜均呈墨绿色,打开侧腹膜,见胆汁性渗出液及坏死组织,探查胃十二指肠、小肠、结肠见肠壁完整无穿孔。...
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| Published in | 临床肝胆病杂志 Vol. 32; no. 4; pp. 779 - 780 |
|---|---|
| Main Author | |
| Format | Journal Article |
| Language | Chinese |
| Published |
吉林大学白求恩第一临床医院肝胆胰外科,长春,130021
2016
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1001-5256 |
| DOI | 10.3969/j.issn.1001-5256.2016.04.039 |
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| Abstract | 1病例资料患儿女性,7岁,1周前出现上腹部胀痛,无发热,1 d前疼痛加重,剧烈,继而波及全腹,以右下腹明显,2014年12月10日就诊于当地医院,考虑＂急性阑尾炎＂,拟行阑尾切除术。术中探查见腹腔内大量胆汁性液体,不除外消化道穿孔,遂上沿切口,共吸出胆汁性液体约500 ml,升结肠系膜、右侧腹膜均呈墨绿色,打开侧腹膜,见胆汁性渗出液及坏死组织,探查胃十二指肠、小肠、结肠见肠壁完整无穿孔。 |
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| AbstractList | 1病例资料患儿女性,7岁,1周前出现上腹部胀痛,无发热,1 d前疼痛加重,剧烈,继而波及全腹,以右下腹明显,2014年12月10日就诊于当地医院,考虑＂急性阑尾炎＂,拟行阑尾切除术。术中探查见腹腔内大量胆汁性液体,不除外消化道穿孔,遂上沿切口,共吸出胆汁性液体约500 ml,升结肠系膜、右侧腹膜均呈墨绿色,打开侧腹膜,见胆汁性渗出液及坏死组织,探查胃十二指肠、小肠、结肠见肠壁完整无穿孔。 R575.7 |
| Author | 赵正伟 石小举 王广义 孙晓东 吕国悦 |
| AuthorAffiliation | 吉林大学白求恩第一临床医院肝胆胰外科,长春130021 |
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| DocumentTitleAlternate | Perforation due to congenital choledochocyst misdiagnnosed as acute appendicitis in a child |
| DocumentTitle_FL | Perforation due to congenital choledochocyst misdiagnosed as acute appendicitis in a child |
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| Keywords | 胆总管囊肿 diagnostic errors case reports 病例报告 appendicitis 误诊 choledochalcyst 阑尾炎 |
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| Notes | choledochalcyst ; appendicitis ; diagnostic errors ; case reports ZHAO Zhengwei, SHI Xiaoju, WANG Guangyi （ Department of Hepatopancreatobiliary Surgery, The First Hospital of Jilin University, Changchun 130021, China） 22-1108/R |
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| PublicationTitle | 临床肝胆病杂志 |
| PublicationTitleAlternate | Chinese Journal of Clinical Hepatology |
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| Publisher | 吉林大学白求恩第一临床医院肝胆胰外科,长春,130021 |
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| SubjectTerms | 病例报告 胆总管囊肿 误诊 阑尾炎 |
| Title | 小儿先天性胆总管囊肿穿孔误诊为急性阑尾炎1例报告 |
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