以慢性腹泻为表现的结肠憩室脓肿：一例报告
Colonic diverticular abscess presenting as chronic diarrhea: a case report.
作者信息
Daryani Nasser Ebrahimi, Keramati Mohammad Reza, Habibollahi Peiman, Pashaei Mohammad Reza, Ansarinejad Nafiseh, Ajdarkosh Hossein
机构信息
Department of Gastroenterology, Tehran University of Medical Sciences, Tehran, Iran.
出版信息
Cases J. 2009 Dec 23;2:9389. doi: 10.1186/1757-1626-2-9389.
INTRODUCTION
Several complications have been reported with diverticular disease of colon. Perforation of the diverticulum of colon may lead to development of abdominal abscesses which can have diverse manifestations.
CASE PRESENTATION
This report describes a 72 year-old woman presented with a one month history of non-bloody diarrhea, abdominal pain, and low grade fever. Computed tomography scan confirmed presence of a large local air-fluid level within the culdesac area. Laparotomy revealed a large pelvic abscess which was surrounded between rectosigmoid and uterus with severe tissue necrosis of rectosigmoid colon and uterus.
CONCLUSION
Although rarely reported, abdominal abscesses due to colonic diverticulitis may present as refractory chronic diarrhea.
引言
结肠憩室病已报告有几种并发症。结肠憩室穿孔可能导致腹部脓肿的形成，其表现形式多样。
病例报告
本报告描述了一名72岁女性，有1个月的非血性腹泻、腹痛和低热病史。计算机断层扫描证实盆腔区域存在一个大的局部气液平面。剖腹手术发现一个大的盆腔脓肿，位于直肠乙状结肠和子宫之间，直肠乙状结肠和子宫有严重的组织坏死。
结论
尽管报道较少，但结肠憩室炎引起的腹部脓肿可能表现为难治性慢性腹泻。
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