Vos B, Laureys M
Service de Gériatrie, C.H.U. Brugmann, Bruxells.
Rev Med Brux. 2009 Mar-Apr;30(2):107-9.
A 97-year old woman presented with a 2-months history of asthenia, loss of appetite, nauseas and intermittent diarrhea. She presented an important colic distension associated to an inflammatory syndrome. Microbiological documentation (blood, urine, saddles stool) was negative. Abdominal computed tomography (CT) showed a 15 cm of diameter (giant) right cortical renal cyst with colic obstruction by external colic compression. A percutaneous cyst drainage was performed allowing the evacuation of 1,500 cc. The fluid culture was positive for Raoultella ornithinolytica and Enterococcus faecalis. No antibiotics were given but inflammatory syndrome remained within normal value. Colic function remained normal.
一名97岁女性,出现乏力、食欲不振、恶心及间歇性腹泻2个月。她伴有与炎症综合征相关的严重绞痛性腹胀。微生物学检查(血液、尿液、便鞍)均为阴性。腹部计算机断层扫描(CT)显示一个直径15厘米的(巨大)右肾皮质囊肿,因外部绞痛压迫导致绞痛梗阻。进行了经皮囊肿引流,排出1500毫升液体。液体培养结果显示解鸟氨酸拉乌尔菌和粪肠球菌呈阳性。未给予抗生素,但炎症综合征仍在正常范围内。绞痛功能保持正常。