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首页> 外文期刊>Cureus. >Combination of Common Problem in a Rare Disease: Right Iliac Fossa Pain in a Chronic Myeloid Leukemia Patient
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Combination of Common Problem in a Rare Disease: Right Iliac Fossa Pain in a Chronic Myeloid Leukemia Patient

机译：罕见疾病中常见问题的组合：慢性髓性白血病患者右髂骨窝疼痛

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摘要

Abdominal symptoms in patients with hematological malignancies can occur due to an array of pathologies. Two diagnoses with similar presentation albeit, generally opposite treatment modalities, are typhlitis (inflammation of cecum) and acute appendicitis. Both diagnoses have to be kept in mind in such a patient presenting with right lower quadrant (RLQ) pain. Sagacious clinical judgment along with the aid of radiological imaging may help in differentiating between the two conditions. We present a case of a young male with chronic myeloid leukemia (CML) on imatinib, diagnosed and started on therapy four years earlier, who presented with symptoms of RLQ pain not typical of acute appendicitis. The accurate diagnosis was made with the assistance of ultrasound (US) imaging and prompt surgical therapy was instituted followed by a smooth postoperative recovery.
机译：由于一系列病理，可能发生血液恶性肿瘤患者的腹部症状。两种具有相似介绍的诊断虽然通常相反的治疗方式，是狭窄阴茎（盲肠炎症）和急性阑尾炎。在这种患者中，必须在呈现右下象限（RLQ）疼痛的这种患者中牢记这两种诊断。随着放射性成像的援助持续临床判断可能有助于区分两个条件。我们向伊马替尼（CMM）的慢性骨髓白血病（CML）提出了慢性骨髓白血病（CML）的案例，诊断并在疗法上诊断出来，他们呈现出RLQ疼痛的症状而不是典型的急性阑尾炎。在超声（US）成像的帮助下进行准确诊断，并提出提示外科治疗，然后进行平稳的术后回收。

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