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首页> 外文期刊>Journal of Surgical Case Reports >A rare presentation of acute appendicitis in right upper quadrant caused by renal agenesis
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A rare presentation of acute appendicitis in right upper quadrant caused by renal agenesis

机译:由肾发育不全引起的右上腹急性阑尾炎的罕见表现

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Diagnosing acute abdominal pain will always be a challenging task, patients frequently present with atypical symptoms. It is crucial for a clinician to have good differential diagnosis to avoid delay in diagnosis and treatment. We present 37-year-old male who presented to emergency department with 2 days of abdominal pain. The pain started centrally around his umbilicus and localized to his right upper quadrant (RUQ). Clinical examination showed he has localized peritonitism on the RUQ hence he was further investigated with CT abdomen. CT revealed he has appendicitis. This is due to the congenital anomaly where he has congenital agenesis of his right kidney. This case illustrates in patients with congenital agenesis of right kidney, the diagnosis of acute appendicitis should be considered in right upper quadrant pain. He was commenced on IV antibiotics and proceeded to have laparoscopic appendicectomy. He had an uneventful post-operative recovery.
机译:诊断急性腹痛始终是一项艰巨的任务,患者经常会出现非典型症状。对于临床医生而言,至关重要的是要有良好的鉴别诊断,以免延误诊断和治疗。我们介绍了一位37岁的男性,他在急诊室出现了2天的腹痛。疼痛开始于他的脐部周围,并局限于右上腹(RUQ)。临床检查显示他在RUQ上定位了腹膜炎,因此他接受了CT腹部进一步检查。 CT显示他患有阑尾炎。这是由于先天性异常导致右肾先天性发育不全。该病例说明在患有先天性右肾发育不全的患者中,急性阑尾炎的诊断应考虑在右上腹疼痛。他开始使用静脉抗生素,并进行了腹腔镜阑尾切除术。术后恢复良好。

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