Sy E D, Liu C S, Huang S M, Shan Y S
Section of Pediatric Surgery, Department of Surgery, National Cheng Kung University Hospital, 138 Sheng-Li Road, Tainan, Taiwan, Republic of China 70428.
Pediatr Surg Int. 2001 Mar;17(2-3):215-7. doi: 10.1007/s003830000410.
The preoperative diagnosis of a cecal perforation associated with Salmonella infection as a cause of abdominal-wall necrotizing fasciitis (AWNF) is clinically difficult. Computed tomography of the abdomen is helpful, and can detect the combined presence of a pneumoscrotum and pneumoperitoneum. Its presence indicates a patent processus vaginalis, which acts as the primary route for the spread of the intra-abdominal infectious process into the abdominal wall. An exploratory laparotomy should be done to confirm the presence of intra-abdominal pathology in order to avoid delayed treatment.
术前诊断盲肠穿孔合并沙门氏菌感染作为腹壁坏死性筋膜炎（AWNF）的病因在临床上具有挑战性。腹部计算机断层扫描有助于诊断，可检测到阴囊积气和气腹的合并存在。其存在表明鞘突未闭，这是腹腔内感染过程扩散至腹壁的主要途径。应进行剖腹探查以确认腹腔内病变的存在，从而避免延误治疗。
