Preoperative acute appendicitis intestinal perforation in 1 case clinical analysis of missed diagnosis.doc

 PAGE \* MERGEFORMAT 6 Preoperative acute appendicitis intestinal perforation in 1 case clinical analysis of missed diagnosis Of: Zhu Guoxin, Zhao Hong, Chen Yang, Li trickling [Keywords:] acute appendicitis, intestinal perforation, missed diagnosis, clinical analysis Acute appendicitis and perforation of hollow organs is a common surgical acute abdomen, according to medical history and clinical examination can be diagnosed, and when combined simultaneously, the patient is unable to provide a clear history of trauma and past medical history, the likely cause perforation of hollow organs missed. in our hospital was 1 case of intestinal perforation in acute appendicitis patients combined, are as follows. 1 Materials and Methods 1.1 Clinical data Patients, male, 37 years old. Because of abdominal pain 3 h 1 d increased hospitalization. To spasm, symptomatic treatment and hospital transfusion observed 3 h later, the patient complaints of abdominal pain, bloating, and no relief intensified significantly to the right lower abdomen. Checkup again : bulging abdomen, diffuse abdominal tenderness with the whole muscle tension, rebound-positive suspect, especially in the right lower abdomen obvious positive shifting dullness suspicious disappearance of bowel sounds, colon inflatable obturator muscle experiments and experiments were positive lumbar muscle test negative, diagnosis of right lower quadrant puncture was negative. initially diagnosed as acute appendicitis, to surgery. 1.2 Treatment Right lower abdominal surgery to take wheat incision, see yellow exudate within the abdominal cavity, omental wrapping ileocecal down, appendix congestion and swelling, pus attached to the surface, mucous membrane thickened, then remove the appendix sent to pathological examination. To the left exploration, see the attached small intestine trip pus moss and food residues, perforation of hollow organs to consider merger. then off to take the right rectus incisi