Handrick W, Brettschneider D, Hörmann D, Scholbach T
Kinderklinik, Universität Leipzig.
Klin Padiatr. 1992 Jan-Feb;204(1):56-60. doi: 10.1055/s-2007-1025323.
In a boy aged 9 years and 11 months pain developed in the left upper abdomen following Salmonella enteritis infection. Purulent splenitis was diagnosed by sonography. Ultrasonically guided percutaneous puncture and drainage, and appropriate chemotherapy led to a marked improvement in the clinical picture and finally to complication-free remission. In a review of the literature the problems associated with purulent splenitis and the possibility of treating it by percutaneous puncture are pointed out. Purulent splenitis should be considered in all patients with temperatures and unexplained abdominal pain.
一名9岁11个月大的男孩在感染肠炎沙门氏菌后左上腹出现疼痛。通过超声检查诊断为化脓性脾炎。在超声引导下进行经皮穿刺引流,并给予适当的化疗,使临床症状明显改善,最终实现无并发症缓解。在文献综述中指出了化脓性脾炎相关问题以及经皮穿刺治疗的可能性。对于所有有发热和不明原因腹痛的患者都应考虑化脓性脾炎。