Mendeloff J, Wenger J
South Med J. 1975 Apr;68(4):507-10. doi: 10.1097/00007611-197504000-00027.
Phlegmonous colitis, regarded as a terminal event in serious liver disease and hepatic coma, can also occur in reversible liver disease and can be the source of gram-negative sepsis. This paper presented such a case. Improved management of serious liver disease and hepatic coma should include consideration of colonic inflammation as another site of infection that must be treated to avoid complications of sepsis or peritonitis. Abdominal pain and loose or diarrheal stools should arouse a suspicion of the presence of phlegmonous colitis, and should be an indication for treating it and preventing sepsis.
蜂窝织炎性结肠炎，以往被视为严重肝病和肝昏迷的终末期表现，也可发生于可逆性肝病，且可能是革兰阴性菌败血症的来源。本文报告了这样一例病例。对严重肝病和肝昏迷的改进管理应包括将结肠炎症视为另一个必须治疗的感染部位，以避免败血症或腹膜炎的并发症。腹痛和稀便或腹泻应引起对蜂窝织炎性结肠炎存在的怀疑，并且应作为治疗该病和预防败血症的指征。
