TY - A2的蝠鲼Dimitrios盟——Saijo Fumito AU -泽田师傅,盟——野村,太郎Ryohei盟——Mutoh、Mitsuhisa盟——Narushima Yoichi AU - Iwama,已经非盟- Nakayama Fumie盟——Tokumura Hiromi PY - 2020 DA - 2020/10/27 TI -渗透和穿孔的末端回肠憩室炎SP - 7361389六世- 2020 AB - 背景。末端回肠憩室炎是一种罕见的临床疾病。它可以经常模仿其他进程,如急性阑尾炎。诊断和治疗决策(手术或保守治疗)可能很复杂。我们报告四个有趣的情况下末端回肠憩室炎。 案例展示。案例1:一位55岁男性呈现给我们一个为期3天的历史严重右下腹疼痛。计算机断层扫描(CT)显示,渗透的末端回肠憩室炎。7天之后,保守治疗,他接受了回盲肠的切除。病理结果显示一个错误的憩室和五分之二点末端回肠憩室穿孔。案例2:一位77岁男性患有严重右下腹疼痛和无意识。CT显示渗透的末端回肠憩室炎肠系膜和空气。2天postadmission执行回盲肠的切除。病理结果显示一个错误的憩室和渗透到末端回肠憩室。案例3:一位61岁的男性和10天的右下腹疼痛,发烧了6天。 CT showed penetration of terminal ileum diverticulitis and abscess of the psoas muscle. Puncture and drainage of abscess were performed. Laparoscopic ileocecal resection was performed 30 days postadmission. Pathology results revealed a false diverticulum and penetrated terminal ileum diverticulum. Case 4: a 39-year-old female presented to us with right lower quadrant pain for 9 days, suspicious of appendicitis. CT showed abscess of pericecal area. Puncture and drainage were performed. A drainage tube was located into the cecum through the terminal ileum. Conservative therapy was effective, and she was discharged 23 days postadmission. 结论。所有4例右下腹疼痛。3例经CT确诊,而一个被诊断为脓肿引流。两种情况需要手术治疗3天内,一个在1个月,1例不需要手术。决定是否管理病人手术或保守是很困难的。关键是不要延迟执行的决定手术治疗直到每个病人达到一个稳定的一般条件。SN - 2090 - 6900你2020/7361389 / 10.1155——https://doi.org/10.1155/2020/7361389——摩根富林明——病例报告在手术PB - Hindawi KW - ER