Kleemann M, Kujath P, Stellmacher F, Gellissen J, Bruch H-P, Eckmann Ch
Klinik für Chirurgie, Universitätsklinikum Schleswig-Holstein -- Campus Lübeck, Ratzeburger Allee 160, 23538 Lübeck.
Zentralbl Chir. 2006 Dec;131(6):521-4. doi: 10.1055/s-2006-955454.
DIAGNOSTIC FINDINGS: We report about a 83 years old female with persisting abdominal pain for 3 days. Abdominal x-ray, as well as abdominal ultrasound examination were unsuccessful. CT scan revealed a 7 cm tumor, suspicious for abscess. OPERATION: Diagnostic laparotomy showed a 6 cm inflammatory tumor with covered perforation of a jejunal diverticula at the 4th intestinal loop distal the ligament of Treitz. We performed a segmental resection.
Clinical follow-up was uneventful, the patient was without any symptoms within the first 6 months. Pre- and intraoperative pathology will be explained and discussed referring to the literature.
诊断结果:我们报告了一位83岁女性,持续腹痛3天。腹部X光检查以及腹部超声检查均未成功。CT扫描显示一个7厘米的肿瘤,怀疑为脓肿。手术:诊断性剖腹术显示一个6厘米的炎性肿瘤,Treitz韧带远端第4肠袢处的空肠憩室有覆盖性穿孔。我们进行了节段性切除。
临床随访情况良好,患者在最初6个月内没有任何症状。将参考文献解释和讨论术前及术中病理情况。