Paul G, Buysschaert M, De Cannière L, Trigaux J P, Donckier J, Coche E
Service de Médecine Interne, Cliniques Universitaires UCL de Mont-Godinne, Yvoir, Belgique.
Gastroenterol Clin Biol. 1991;15(10):762-5.
We report a case of liver abscess secondary to appendicitis which was due to a wire within the appendix. Appendicitis was asymptomatic, probably because of its retrocaecal position and/or previous antibiotic treatment. The abscess was treated with broad-spectrum antibiotics and percutaneous drainage, followed by a second stage appendicectomy. This case illustrates the value of gastrointestinal radiological investigations before considering the abscess as cryptogenetic.
我们报告一例阑尾炎继发肝脓肿的病例，病因是阑尾内有金属丝。阑尾炎无症状，可能是由于其盲肠后位和/或先前的抗生素治疗。脓肿采用广谱抗生素和经皮引流治疗，随后进行二期阑尾切除术。该病例说明了在将脓肿视为隐源性之前进行胃肠道放射学检查的价值。
