Chang T N, Tang L, Keller K, Harrison M R, Farmer D L, Albanese C T
Departments of Surgery and Radiology, University of California, San Francisco, CA 94143-0570, USA.
J Pediatr Surg. 2001 Sep;36(9):E19. doi: 10.1053/jpsu.2001.26401.
The authors report a case of a ruptured retrocecal appendix presenting with pylephlebitis, portal-mesenteric thrombosis, and multiple liver abscesses in an 8-year-old boy. A right hemicolectomy was performed, and liver abscesses were drained. The patient was treated with long-term antibiotics and anticoagulation. This the only case of perforated appendicitis associated with these 3 morbid complications in the modern literature.
作者报告了一例8岁男孩的盲肠后位阑尾破裂病例，该病例伴有门静脉炎、门静脉肠系膜血栓形成和多发性肝脓肿。实施了右半结肠切除术，并对肝脓肿进行了引流。患者接受了长期抗生素治疗和抗凝治疗。这是现代文献中唯一一例与这三种严重并发症相关的穿孔性阑尾炎病例。
