摘要
Abstract
Objective To analyze the clinical data of patients with misdiagnosed spine derived abdominal pains in domestic reports, to deepen clinicians' attention to it. Methods Taking " spine derived abdominal pains, misdiagnosis" as key words, domestic case reports from 2000 to 2011 were retrieved in Weipu network database, Wanfang network database, CNKI network database, CBM network database. Results Finally 51 patients were enrolled, including 29 males and 22 females, aged at 13 to 89 years old, averaging at 53 years old. The patients were misdiagnosed initially as acute appendicitis ( n =9 ), abdominal pain ( n = 5 ), urinary tract stones ( n = 5 ), chronic cholecystitis ( n = 4 ), gastroenteritis ( n = 3 ), appendagitis ( n = 3 ), chronic appendicitis ( n = 2 ), rupture of hollow viscus ( n = 2 ), enterospasm ( n = 2 ), pancreatitis ( n = 2 ), incomplete intestinal obstruction ( n = 2 ), gastroesophageal reflux disease ( n = 2 ), pelvic inflammation ( n = 2 ), appendix stump inflammation ( n = 1 ), chronic gastritis ( n = 1 ), peptic ulcer ( n = 1 ), irritable bowel syndrome ( n = 1 ), gastroin testinal neurosis ( n = 1 ) coronary disease and angina ( n = 1 ), prostatitiis ( n = 1 ), chronic low back myofascitis ( n = 1 ). All patients were given symptomatic treatments aimed at misdiagnosis etiology, and most gastrointestinal symptoms alleviated, but abdominal pains did not. After full re - examination, spine derived abdominal pains were confirmed by further spine X - ray or CT, MRI. Treatment aimed at etiology alleviated abdominal pains in all patients. Conclusion Detailed inquiry of patients' history , a thorough physical examination are the key to avoid spine derived abdominal pain misdiagnosed, it will be helpful for diagnosis if further combined with spinal imaging examination.关键词
腹痛/误诊/体征和症状Key words
Abdominal pain/ Diagnostic errors/ Signs and symptoms分类
医药卫生
