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Perforated appendicitis masquerading as acute pancreatitis in a morbidly obese patient

查看全文 作  者:Michael J [1]Forster;Jacob A [1]Akoh 高影响力作者 机构地区:[1]Department of Surgery,Plymouth Hospitals NHS Trust Plymouth,PL6 8DH,United Kingdom高影响力机构 出  处:《World Journal of Gastroenterology》索引2008年第14卷第11期,共2页高影响力期刊 摘  要:Diagnosis and treatment of common conditions in morbidly obese patients still pose a challenge to physicians and surgeons.Sometimes too much reliance is put on investigations that can lead to a misdiagnosis.This case demonstrates an obese woman admitted under the medical team with a presumed diagnosis of pneumonia, who was later found to have an acute abdomen and raised amylase,which led to an assumed diagnosis of pancreatitis.She died within 24 h of admission and post mortem confirmed the cause of death as systemic sepsis due to perforated appendicitis,with no evidence of pancreatitis.Significantly elevated serum amylase level may occur in non-pancreatitic acute abdomen. 关 键 词:病态肥胖 阑尾穿孔 肺炎 血清淀粉酶 急性胰腺炎
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