[Abdominal pain out of proportion by a young, healthy patient].

Q4 Medicine
Praxis Pub Date : 2025-05-01 DOI:10.23785/PRAXIS.2025.05.009
Sabine Fischbacher, Larissa C Vines, Bruno Minotti
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引用次数: 0

Abstract

Introduction: We report on a 29-year-old patient with highly intense, acute abdominal pain of idiopathic origin (out of proportion), admitted to the emergency department with suspected appendicitis. An ultrasound revealed signs of bowel obstruction, and due to persistent pain despite intravenous morphine analgesia, a computed tomography was performed, revealing a closed-loop obstruction. The patient underwent laparoscopy, where an omental adhesion was identified and surgically resolved. The postoperative course was uneventful. This potentially dangerous diagnosis should be considered even in healthy patients without prior surgeries. Keywords: Acute abdomen, abdominal pain, intestinal obstruction, ileus, closed loop obstruction, emergency medicine.

[年轻健康病人的腹部疼痛不成比例]。
简介:我们报告一位29岁的患者,因高度强烈的特发性急性腹痛(比例失调),疑似阑尾炎而被急诊室收治。超声检查显示肠梗阻的迹象,尽管静脉注射吗啡止痛,但由于持续疼痛,进行了计算机断层扫描,显示闭环梗阻。患者接受腹腔镜检查,发现网膜粘连并通过手术解决。术后过程平淡无奇。这种潜在的危险诊断应该被考虑到,即使是没有手术的健康患者。关键词:急腹症,腹痛,肠梗阻,肠梗阻,闭合性梗阻,急诊医学
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Praxis
Praxis Medicine-Medicine (all)
CiteScore
0.40
自引率
0.00%
发文量
146
审稿时长
12 weeks
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