Puglisi R, Murmura C, Piombo A, Quaglia F
UO Chirurgia Generale, Azienda Ospedaliera Villascassi, Genova.
G Chir. 2008 Apr;29(4):180-1.
We present a case of retroperitoneal abscess due to asymptomatic duodenal perforation by foreign body. Patient has been admitted for lumbar pain and subocclusive crisis, with a medical history negative for acute symptomatology. After both clinical and radiologic evaluation, an abscess-like mass was detected in the context of right psoas muscle. Patient underwent surgical operation and a lumbar abscess has been found containing a foreign body (toothpick). There has been a transduodenal migration of the foreign body, without clinical signs of duodenal perforation.
我们报告一例因异物导致无症状十二指肠穿孔引起的腹膜后脓肿病例。患者因腰痛和亚闭塞性危象入院,既往无急性症状病史。经过临床和影像学评估,在右侧腰大肌区域发现一个脓肿样肿块。患者接受了手术,发现一个腰椎脓肿内有一个异物(牙签)。异物经十二指肠迁移,但无十二指肠穿孔的临床体征。