Peeters R, Van Vooren W, Hubens A
Acta Chir Belg. 1976;75(6):645-51.
This is the case of a patient who underwent splenectomy after traumatic rupture of the spleen. After the operation, while on parenteral feeding, the patient presented with fever and septicemia during approximately 2 months; no origin to this could be found. Two months after the accident the patient died of perforation of a subdiaphragmatic abscess into the stomach and the lung. The authors discuss the possibilities of coming to an earlier diagnosis. They recognize the necessity of a more aggressive attitude to establish the diagnosis.
这是一例因脾脏外伤性破裂而接受脾切除术的患者。术后,患者在接受肠外营养期间,持续约2个月出现发热和败血症;未发现病因。事故发生两个月后,患者死于膈下脓肿穿破入胃和肺部。作者讨论了早期诊断的可能性。他们认识到采取更积极的态度来确立诊断的必要性。