Dimofte Gabriel, Dubei Liviu, Lozneanu Lili-Gabriela, Ursulescu Corina, Grigora Scedil Mihai
Department of Surgery, St. Spiridon University Hospital, Bd. Independentei no. 1, 700111 Iasi, Romania.
Rom J Gastroenterol. 2004 Sep;13(3):241-4.
Acute appendicitis represents one of the most frequent abdominal emergencies encountered in everyday surgical practice. Local infectious complications are not unusual and retroperitoneal abscesses after acute retrocaecal appendicitis have been previously described. The authors present the case of a 22-years-young female patient, admitted for a right iliac fossa abscess, secondary to gangrenous appendicitis. A right adrenal mass 35/40 mm was revealed during preoperative ultrasound evaluation, which evolved in an adrenal abscess that spontaneously drained 10 days after appendectomy and retrocecal drainage. Adrenal abscesses are exceptionally rare, with only a few cases being reported in the literature, but none of these after acute appendicitis.
急性阑尾炎是日常外科手术中最常见的腹部急症之一。局部感染并发症并不罕见，急性盲肠后阑尾炎后的腹膜后脓肿此前已有描述。作者报告了一例22岁年轻女性患者，因坏疽性阑尾炎继发右髂窝脓肿入院。术前超声检查发现右侧肾上腺有一个35/40毫米的肿块，术后发展为肾上腺脓肿，并在阑尾切除和盲肠后引流10天后自行排出。肾上腺脓肿极为罕见，文献中仅报道过少数病例，但均非急性阑尾炎后发生。
