Acute abdomen caused by both acute appendicitis and epididymitis
| Autor: | Takashi Chikai, Kazuhiro Hanazaki, Hajime Nakatani, Yuichiro Inoue, Toyotake Okanoue, Akihiro Kawamura, Shinichi Hamada, Shinya Yamamoto, Makoto Hiroi |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty acute appendicitis Testicular pain Physical examination macromolecular substances General Biochemistry Genetics and Molecular Biology Spermatic cord acute abdomen Scrotum medicine Humans right lower quadrant pain Abdomen Acute Epididymitis medicine.diagnostic_test business.industry General Medicine Middle Aged medicine.disease Appendicitis Surgery medicine.anatomical_structure Acute abdomen Abdomen Radiology medicine.symptom business |
| Zdroj: | The journal of medical investigation : JMI. 58(3-4) |
| ISSN: | 1349-6867 |
| Popis: | Acute appendicitis often presents as right lower quadrant (RLQ) pain, severe tenderness at the point of McBurny or Lanz, and Blumberg's sign. Scrotal events with appendicitis are very rare. In our case, a 63-year-old Japanese man presented with severe RLQ pain and high fever. Physical examination revealed severe tenderness (including both points of McBurny and Lanz) and Blumberg's sign. The scrotum was slightly swollen and showed local heat with severe testicular pain. Abdominal computed tomography revealed ascites in a pelvic space and the right side of the spermatic cord was swollen. Emergency operation was performed and the final diagnosis was catarrhal appendicitis and acute epididymitis. This is the first report of acute appendicitis concomitant with acute epididymitis. |
| Databáze: | OpenAIRE |
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