Mendis D, Pohl M J
Department of ENT Surgery, University Hospital Coventry, Coventry, Great Britain.
Acta Chir Plast. 2007;49(1):19-20.
We report on a patient who had a previous abdominoplasty with umbilical reconstruction. The patient presented one-year postoperatively with periumbilical cellulitis. This was felt to be due to a retained stitch, which when removed improved the patient's symptoms. However, a further recurrence prompted a surgical exploration, which demonstrated that the original umbilicus had been left in place and buried. This was corrected and the patient has had no further problems at subsequent follow-up. This case presents an iatrogenic cause of a discharging umbilicus; it is reported in context with the differential diagnoses, which should be considered for an infected umbilicus.
我们报告了一例曾接受腹部整形术及脐重建术的患者。该患者术后一年出现脐周蜂窝织炎。据认为这是由于缝线残留所致，缝线拆除后患者症状有所改善。然而，病情再次复发促使进行手术探查，结果发现原来的肚脐仍留在原位并被埋入。问题得到纠正，患者在随后的随访中未再出现问题。本病例呈现了一种导致脐部流脓的医源性原因；结合对感染肚脐应考虑的鉴别诊断进行了报道。
