Martino Antonio, Catuogno Franco, Festa Patrizio, Napolitano Giuseppe, Noschese Giuseppe, Maharajan Gautam, Romano Marina, Sacco Maria Lucia, De Masi Alessandro
A.O.R.N. A.Cardarelli, Napoli, U.O. Struttura Complessa Trauma Center.
Ann Ital Chir. 2008 Sep-Oct;79(5):377-82.
A 51 years old male was admitted to our Emergency Department because a severe pain in the right lumbar area irradiating to homolateral thigh, with fever. Abdomen and pelvis TC scan revealed a big retroperitoneal abscess. An urgent laparotomy was performed. It showed a huge retroperitoneal purulent collection extending caudally to right thigh and all around urinary bladder. The fluid collections were drained and a sample was sent for biological examination. There was the evidence of enterococcus faecalis and specific antibiotic treatment was done. The patient was discharged after 33 days in good general conditions. The aim of this study is to emphasize the difficulty in clinical diagnosis of this pathology due to the lack specific symptoms and signs, and the occasional difficulty to find the original cause of the condition. Moreover we remark the utility of CT scan and of selective collection drainage.
一名51岁男性因右腰区剧痛放射至同侧大腿并伴有发热而入住我院急诊科。腹部和盆腔CT扫描显示一个巨大的腹膜后脓肿。遂进行了紧急剖腹手术。术中发现一个巨大的腹膜后脓性积液，向下延伸至右大腿并环绕膀胱。排出积液并送检样本进行生物学检查。检查发现粪肠球菌感染，遂进行了针对性的抗生素治疗。患者在33天后出院，总体状况良好。本研究的目的是强调由于缺乏特异性症状和体征，以及偶尔难以找到病因，导致这种疾病临床诊断困难。此外，我们还强调了CT扫描和选择性积液引流的作用。
