A 组链球菌引起的原发性腹膜炎：腹腔镜治疗。

Primary peritonitis due to Streptococcus A: laparoscopic treatment.

机构信息

Unité de chirurgie digestive, département médicochirurgical de pathologie digestive, hôpital Lariboisière, AP-HP, GHU Nord, université Paris-Diderot-Paris 7, 2, rue Ambroise-Paré, 75475 Paris cedex 10, France.

出版信息

J Visc Surg. 2011 Sep;148(4):e315-7. doi: 10.1016/j.jviscsurg.2011.07.002. Epub 2011 Sep 1.

DOI:10.1016/j.jviscsurg.2011.07.002

PMID:21889922

Abstract

Primary peritonitis is defined as peritoneal infection without an evident intraperitoneal septic focus. This is a rare condition and few cases are reported in the literature. We report a case of primary peritonitis in a 23-year-old female that was diagnosed and treated laparoscopically. The challenge for the surgeon is to consider the possibility of this diagnosis, and to avoid conversion to laparotomy in search of a hypothetical septic focus when none is apparent on laparoscopy.

摘要

原发性腹膜炎定义为无明显腹腔内感染灶的腹膜感染。这是一种罕见的疾病，文献中报道的病例很少。我们报告了一例 23 岁女性的原发性腹膜炎，该患者经腹腔镜诊断和治疗。外科医生面临的挑战是要考虑到这种诊断的可能性，并避免在腹腔镜检查时没有明显的感染灶的情况下为寻找假设的感染灶而转为开腹手术。