并发胆囊结肠瘘的网膜及腹膜外脓肿。
Omental and extraperitoneal abscesses complicating cholecystocolic fistula.
作者信息
Hussien M, Gardiner K
机构信息
Belfast City Hospital, Belfast, N Ireland, UK.
出版信息
HPB (Oxford). 2003;5(3):194-6. doi: 10.1080/13651820310001315.
BACKGROUND
Acute cholecystitis resolves with conservative treatment in most patients, but empyema or perforation of an ischaemic area may develop, resulting in a pericholecystic abscess, bile peritonitis or a cholecysto-enteric fistula.
CASE OUTLINE
A 63-year-old man presented with extraperitoneal and omental abscess formation complicating a cholecystocolic fistula secondary to gallbladder disease. Histological examination of the gallbladder and omentum showed xanthogranulomatous inflammation.
CONCLUSION
A detailed literature review failed to demonstrate a previous report of this combination of rare complications of gallbladder disease.
背景
大多数急性胆囊炎患者经保守治疗可痊愈，但可能会发展为积脓或缺血区域穿孔，导致胆囊周围脓肿、胆汁性腹膜炎或胆囊肠瘘。
病例概述
一名63岁男性因胆囊疾病继发胆囊结肠瘘，出现腹膜外和网膜脓肿形成。对胆囊和网膜进行组织学检查显示为黄色肉芽肿性炎症。
结论
详细的文献综述未能发现此前有关于胆囊疾病这种罕见并发症组合的报道。
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