Brooks B, Madsen G
Patologisk-anatomisk institut og kirurgisk gastroenterologisk afdeling, Arhus Kommunehospital.
Ugeskr Laeger. 1991 Sep 16;153(38):2635-6.
A 73 year old woman presenting with an acute abdomen was diagnosed as having phlegmonous enteritis after microscopic examination revealed the characteristic finding of a diffuse suppurative inflammation limited to the submucosa in the resected ileal segment. Culture of Klebsiella pneumoniae, and the microscopic demonstration of gram positive cocci and gram negative rods confirmed the bacterial etiology of this disease. There was no evidence of mucosal injury in this patient, but the possible role of ischemia secondary to atherosclerotic vascular disease cannot be assessed. Because of the associated high morbidity and mortality, phlegmonous enteritis should be considered in the differential diagnosis of acute abdomen.
一名73岁出现急腹症的女性，在显微镜检查显示切除的回肠段有特征性表现，即局限于黏膜下层的弥漫性化脓性炎症后，被诊断为蜂窝织炎性肠炎。肺炎克雷伯菌培养以及革兰氏阳性球菌和革兰氏阴性杆菌的显微镜显示证实了该病的细菌病因。该患者没有黏膜损伤的证据，但动脉粥样硬化性血管疾病继发缺血的可能作用无法评估。由于其相关的高发病率和死亡率，蜂窝织炎性肠炎应在急腹症的鉴别诊断中予以考虑。
